Counseling and Academic Success Clinic

Mailing Address
Cleveland State University
2121 Euclid Avenue, JH210
Cleveland, OH 44115

Campus Location
Julka Hall Room 210
2485 Euclid Avenue
Cleveland, OH 44115
Phone: 216.687.9325

Schedule a Counseling Session

Email Address:

Student ID Number:

First Name:

Last Name:

Phone Number:

Street Address:

City/Town:

State:

Zip Code:

Emergency Contact Name:

Emergency Contact Phone Number:

Appointment Needed:

As Soon As Possible

Within One Week

Within Two Weeks

I am available to meet for a counseling session on this day / these days between the hours of 9-5:

Monday

Tuesday

Wednesday

Thursday

Enter time available to meet on Monday:

Enter start time and end time (e.g. 9:00am - 12:00pm).

Enter time available to meet on Tuesday:

Enter start time and end time (e.g. 9:00am - 12:00pm).

Enter time available to meet on Wednesday:

Enter start time and end time (e.g. 9:00am - 12:00pm).

Enter time available to meet on Thursday:

Enter start time and end time (e.g. 9:00am - 12:00pm).

Mailing Address
Cleveland State University
2121 Euclid Avenue, JH210
Cleveland, OH 44115

Campus Location
Julka Hall Room 210
2485 Euclid Avenue
Cleveland, OH 44115
Phone: 216.687.9325