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Franciscan University of Steubenville Wellness Center Request for Counseling Services Last Name: First Name: Student ID #: Today's Date: Sex: Male Female Semester/Year: Date of Birth: Age: Living
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How to fill out request for counseling

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How to Fill Out a Request for Counseling:

01
Start by obtaining the necessary form. The request for counseling form can usually be acquired from your school, workplace, or counseling center. You may be able to find it online as well.
02
Begin filling out the form by providing your personal information. This typically includes your full name, contact details (such as phone number and email address), and any identification numbers or student/employee ID if applicable.
03
Specify the purpose of your request. In a brief but concise statement, explain why you are seeking counseling. Be clear and specific about the issues or concerns you wish to address during counseling.
04
Indicate your preferred counselor, if applicable. Some forms may ask for your preference regarding the gender, specialty, or specific counselor you would like to work with. If you have a preference, state it clearly in this section.
05
Choose your preferred mode of counseling. Depending on the options provided, you may be asked to select between in-person counseling, phone counseling, or virtual counseling. Consider what would work best for you and mark your choice accordingly.
06
Determine the urgency of your request. If you feel that your situation requires immediate attention, make sure to indicate that on the form. This will help prioritize your request and ensure a timely response.
07
Provide any additional relevant information. Use this section to elaborate on your concerns, share any relevant background information, or mention specific goals you have for counseling. The more details you provide, the better equipped the counselor will be to assist you.
08
Sign and date the form. Before submitting the request, make sure to read through the entire document and sign and date it as required. This confirms your understanding and agreement to the terms and conditions outlined on the form.

Who Needs a Request for Counseling?

01
Students: Students of all ages, from elementary school to university, may require the assistance of a counselor. Whether they are experiencing academic difficulties, personal problems, or mental health concerns, a request for counseling can provide them with the support and guidance they need to overcome challenges.
02
Employees: Many workplaces offer counseling services to help employees manage work-related stress, conflicts, or personal issues that may affect their performance and well-being. Employees seeking professional help can submit a request for counseling to access these services and receive the required support.
03
Individuals in crisis: People experiencing emotional crises, trauma, or significant life changes can also benefit from counseling. In such cases, a request for counseling can be a crucial step towards finding the necessary assistance and receiving the appropriate care to address the specific challenges they are facing.
In conclusion, filling out a request for counseling involves providing personal information, specifying the purpose of the request, choosing a preferred counselor and counseling mode, and providing any additional relevant details. This process is open to students, employees, and individuals in crisis who seek professional guidance and support.
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A request for counseling is a formal document submitted to request guidance or advice from a professional counselor.
Any individual seeking counseling services may file a request for counseling.
To fill out a request for counseling, one must provide their contact information, details of their concerns or issues, and availability for counseling sessions.
The purpose of a request for counseling is to seek help, guidance, or advice from a professional counselor to address personal or psychological challenges.
The information reported on a request for counseling typically includes personal details, reason for seeking counseling, and availability for counseling sessions.
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