CAPS - Outreach Request Form

To ensure our availability, we ask that this form be completed at least 2 weeks before desired date. Request made with less than 2 weeks’ notice may not be able to be accommodated. Submitted request will be reviewed by the CAPS staff who will then contact you by phone or e-mail to confirm your request. If you do not hear from us within 48 hrs, you may reach out to us at 301.687.4234. This form is not for scheduling counseling appointments, if you would like an appointment please call our office at 301.687.4234.

(ex: Interview)

In-Person events will be subject to CAPS availability and will follow recommended safety guidelines. Social distancing and capacity limits may be required.

(Specify Address for In-person event)