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                                                                                           Outreach Interview Request Form
We periodically receive requests for interviews for class assignments during the semester. 
All requests for interviews must be approved by The Student Affairs Communications Director.  Please allow for time needed to submit the request and for it to be sent to the Student Affairs Communications Director for approval.
These requests should be made at least 4 weeks ahead of time. The interviews are to be scheduled during business hours, 8:00am to 5:00pm, Monday through Friday. Interviews are scheduled for 30 minutes and conducted with a member of the Cook Counseling Center staff knowledgeable in the subject requested.
During peak clinical times, the Cook Counseling Center staff may be unable to fulfill requests due to limited counselor availability.  Staff do not complete interviews via email. Questions should be submitted in advance directly to the counselor assigned. This provides an opportunity for our counselors to prepare and maximize the time allotted.  If you would like to request an interview for a class assignment, please complete the form below:
Name:

Email (VT Email Only):

Phone Number:

Please provide THREE days of the week (Monday through Friday) that you typically have availability. Please include time of day (between 9am and 4pm) that you are available. (Example: Tuesday from 1pm-4pm)
Preferred Format of Interview:

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