Skip to main content
Endeavor

Now accepting applications for the new Endeavor Program, a unique educational experience designed for you!

Learn More

Request for Initial Appointment

This information is used only for the purpose of assigning a counselor. 

All information will be kept strictly confidential.
Name
Ethnicity
Student Classification

Hours of Availability

Counseling appointments are approximately 50 minutes and are free of charge to Lipscomb students.

Note: Appointment times are scheduled Monday – Friday between 8:00 a.m. and 5:00 p.m. Weekly appointments are scheduled for the same day and time each week. We will try to give you an appointment time you prefer, but given the number of people we are trying to accommodate, and the limited number of counseling hours available, we need to know all the times you can be available. You may indicate preferred times with an asterisk (*). Please list ALL the times you can be available.

Personal Information

It is recommended that you only see one counselor at a time.  If you are currently seeing a local counselor, you may need to consider either finishing with that counselor and starting with a new UCC counselor, or staying with your current counselor.

Additional Information