Wellness Event Request Form - Mental Health and Wellness - Wellness - Current Students

Name*

First Last

Email (Carleton Email)*

What department are you with?*

Health and Counselling (Counselling side)
Health and Counselling (Medical side)
Student Affairs

Event/ Workshop Name:*

Date of Event / Workshop*

If the event is reoccuring, please specify additional dates below:

Start Time*

: HH

MM

End Time*

: HH

MM

Location*

Description of the Event/Workshop*

Please select all that apply:*

For social media graphics and advertising on the Instagram page, requests must be submitted a minimum 3 weeks prior to the event.

I would like a registration page built for the event
I would like a social media graphic developed for this event
I would like this event advertised on the Wellness Instagram
I would like this event advertised on the Wellness Website
Other (please fill in below)

If you have other requests, please fill in below:

Please select all information you're looking to capture in the registration page:*

Name (first/last)
Carleton Email
CUID
Year of Study
Program of Study
Questions in advance of event
Other (please fill in below)

If you have other requests, please fill in below:

What email would you like a copy of the registrations to go to?*

Are there any graphics or imagery you would like on the social media advertisement? If so, please include them below:*

Please note that Carleton Wellness follows Carleton specific branding guidelines and as such, may not be able to accommodate your request but we will try our best.

If you have a graphic you would like us to add to our story, please upload it here. If you have no social media graphics, please go back and select "I would like a social media graphic developed"