Resources
Student Counseling Center Forms
Outreach/Training Request Form
The outreach request form is designed to streamline the process for individuals or organizations seeking to collaborate on mental health initiatives. It ensures that all relevant details are collected efficiently, enabling the Counseling Center to provide targeted support and resources.
Form type: Google Docs
Referral Form
The referral form allows for seamless referrals of students, faculty, staff, or others needing support by gathering essential information to tailor our counseling services to their specific needs. By completing this form, referring parties can ensure that individuals receive appropriate and timely assistance to address their mental health concerns.
Form type: Maxient
Bereavement Fund Application Form
Thanks to the generosity of the New York Life Foundation, the BSP is able to provide financial assistance for students who have lost a caregiver or close relative while attending Hampton University. Fill out this application and send the completed form along with supporting documentation to bereavementservices@hamptonu.edu.
Form type: PDF
Bereavement Services Request Form
The Bereavement Services Request Form allows students to formally request support for a wide array of services during a time of loss.
Form type: addxt.com
SheCare Wellness Pods & Activities Signup Form
Signup for one of our wellness pods and/or activities! Participate in a variety of health-promoting events designed to support your personal well-being and stress management.
Form type: Hampton University Form
Request a Medical Leave of Absence (MLOA)
Hampton University recognizes that students may experience medical situations during the course of their enrollment that significantly limits their ability to function successfully or safely in their role as students. During these times, students may schedule a Medical Leave of Absence (MLOA) consultation with the Wellness Care Coordinator or a medical provider to discuss their options.
Form type: Maxient
Medical Withdrawal Form
Form type: PDF
