Request a Workshop - Mental Health and Wellness - Wellness - Current Students

Name*
First Last
Email (Carleton CMAIL / CUNET)*
Department/Faculty/Organization/Club Name*
Workshop Request*
How many participants are anticipated to attend?*
Preferred Date*
Date Format: MM slash DD slash YYYY
Preferred Time*

: HH

MM
Alternative Date and Time
Approximately how much time would you be able to give for the workshop?*
- 5-10 minutes
- 15-30 minutes
- 30-60 minutes
- As long as you need
Any additional information you would like to include: