Request Training

Counseling & Testing Center - Partners in facilitating students' academic and personal success

Request Training

As a university faculty or staff member, you can be a “gatekeeper” for students getting help. Students in distress often turn to those they know and trust. If you would like to schedule a training for your department or organization, please fill out the form below and send it to the Gatekeeper Training Coordinator @ Counseling & Testing Center.

Gatekeeper Training Request Form

Today's Date:

Select Date

Requestor's Name:

Requestor's Title:

Department/Class/Organization:

Contact Phone:

Email Address:

Please provide up to 3 options for Time/Date of training.

Option 1:

Option 2:

Option 3:

Expected Number or Participants:

Focus of Training or Concerns to be Addressed:

Need Meeting Place:

Yes
No

Proposed Training Location:

Audio/Visual Equipment is Available:

Yes
No

Submit

Division of Student Affairs

Counseling and Testing Center

Phone: 541.346.3227

Fax: 541.346.2842

Mailing Address:

Counseling and Testing Center
1590 E. 13th Ave.
Eugene, OR 97403