Mailing List Request Form for School-Based Counselors

Thank you for your interest in Providence College! If you would like additional information about PC, we would be happy to add you to our counselor mailing list. We send an electronic newsletter once every quarter and a few event invitations throughout the year.

NOTE: The below form is only for counselors in a school setting. Independent educational consultants and counselors at community-based organizations are asked to please submit this form.

*Required

What option best defines your role?*

School / College Counselor

Community-Based Organization Member

Independent Educational Consultant

This form is only intended for school counselors. IECs and those at CBOs should use this form.

In addition to being added to our mailing list, would you like to receive a counselor packet in the mail?

Yes

No

First Name*

Last Name*

Display Name (calculated field set to read only and/or hidden)

Title

Email Address*

Email Type (read only field mapped to Device Type that defaults to email. This form field is in the same group as the above email address and is required to create a phone number on the device table).

Record Key

Phone Number*

Are you the primary contact for your school?

Yes

No

What is your role at the school?

Counselor

Scheduling Contact

School Name* - must choose from list, if you have issue finding your school try typing the CEEB code.

School CEEB Code

Where would you like the packet mailed to?

Country

Street

City

Region

Postal Code

Counselor Newsletter

Yes

No

Helpful Links

Mailing List Request Form for School-Based Counselors

Campus Map

Contact Providence College

Disclosures

Social

Work At PC