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CAMPUS COUNSELING INFORMED CONSENT Carol Dillinger, CPC, NCC, CC MHC EDUCATIONAL BACKGROUND AND TRAINING: Education: M.S. in Guidance and Counseling from Southwest Missouri State University B.S. in

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2. Step 2: Carefully read the instructions provided on the form to ensure you understand the requirements and any specific guidelines.
3. Step 3: Begin by providing your personal information, including your full name, contact details, and student identification number, if applicable.
4. Step 4: Proceed to fill out the sections related to your academic background, including your current course or program, GPA, and any relevant qualifications.
5. Step 5: If the form requires you to provide information about your concerns or reasons for seeking campus counseling, be honest and provide as much detail as necessary. This will assist the counseling staff in understanding your needs better.
6. Step 6: Review all the information you have entered to ensure accuracy and completeness. Make any necessary corrections or additions before proceeding.
7. Step 7: Sign and date the form in the designated areas to acknowledge that the provided information is true and accurate to the best of your knowledge.

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1. Students facing academic difficulties or challenges: Campus counseling can provide support and guidance for students who are struggling academically, whether it's due to learning disabilities, study habits, or other factors affecting their academic performance.
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3. Students experiencing personal crises or traumatic events: Campus counseling is available to students dealing with personal crises such as grief, loss, relationship issues, or traumatic events. Counselors can provide a safe space for students to express themselves, offer coping strategies, and aid in the healing process.
4. Students seeking personal development and growth: Campus counseling also caters to students who wish to enhance their personal development, build resilience, improve time management, or work on interpersonal skills. Counselors can provide guidance and resources to assist students in achieving their personal goals.

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Campus counseling - form-driving-force is a resource provided to students on campus to help them with personal, academic, or emotional challenges.

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The purpose of campus counseling - form-driving-force is to provide a safe and confidential space for individuals to seek help, support, and guidance in dealing with various challenges.

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Information reported on campus counseling - form-driving-force may include personal details, reasons for seeking counseling, any relevant background information, and desired outcomes.