skip to main content
The University of Texas Rio Grande Valley
Main Menu
Donate Now
Directory
myUTRGV
Search
You are here:
Services
Presentation Request
Counseling Center
Health Affairs
Quick Escape Button
Home
Services
Services Home
Body Project
Frequent Asked Questions
Mental Health Counseling
Individual Counseling
Couples Counseling
Group Counseling
Suicide Prevention
Mental Health Resources Available
TimelyCare
Practicum/Internships
Presentation Request
Veterans Services
BASICS/CASICS
Collegiate Recovery Program
Vaqueros Crisis Line
About
Presentation Request Form
Please complete request at least 2 weeks in advance.
true
Contact Information
Group / Department / Organization
(Required)
(Special instructions)
true
Contact Name
(Required)
true
Contact Email
(Required)
Format: your.name@email.com
true
Contact Phone
(Required)
Format: (956) 111-2222
true
Presentation Title
(Required)
Not specified
Collegiate Recovery Program/Addictions
Counseling Center Services
Conflict Resolution
Healthy Communication/Relationships
Military Culture/Empathy Training
Naloxone Training
Stress Management
Students in Distress (How to Intervene and Refer)
Suicide Prevention Gatekeeper Training
Other
true
Presentation Location
(Select one or more options )
Edinburg campus
Brownsville campus
Other campus
Off campus
Online presentation
To Be Determined
true
Presentation Audience
(Required)
Not specified
Classroom
Community Organization/Agency
Faculty/Staff
Resident Assistants
Student Mentors
Student Organization
Other
true
Length of Presentation
Format: 1 hour
true
Estimated Attendance
Format: Estimated number of attendees / participants
true
Presentation Date & Time Choice
First Choice Date
Format: mm/dd/yyyy
true
First Choice Time
Format: hh:mm am/pm
true
Second Choice Date
Format: mm/dd/yyyy
true
Second Choice Time
Format: hh:mm am/pm
true
Comments & Accommodations
Request Details, Notes & Comments
Format: Please list specific request details ( purpose, goals, location ).
true
Accommodation Needs
Format: Please indicate if you are aware of any potential accommodation needs of your participants ( interpreter, large print, etc. )
true
Referral Code (optional)
Email:
Jump to Top
The University of Texas Rio Grande Valley
The University of Texas Rio Grande Valley