Request an Appointment

Name*

First Last

Preferred Name

Pronouns

CSU ID #*

Email*

Phone*

Which best describes your role at CSU? (check all that apply)*

Student
Faculty/Instructor
Staff
Other

Please specify:

What year are you in school?

First Year
Sophomore
Junior
Senior
Master's Student
Doctoral Student

Which of the following are you enrolled in:*

On-campus degree program/classes
CSU Online degree/certificate program
Not sure
Other

Are you a first generation college student?

Yes
No

Are you a veteran?

Yes
No

Please indicate which of the following you most identify with (check all that apply):

Self-identify:

What would you like to discuss with Conflict Resolution staff (check all that apply)?*

Brief description of the situation:*

How did you learn of Conflict Resolution Services?

Please specify:

When are you typically available to meet? (check all that apply)*

Appointments generally last 45-60 minutes. Office hours are 8:00AM-5:00PM (mountain time), Monday through Friday.

I already have an appointment
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays

Mondays between the hours of:*

8:00AM-11:00AM
11:00AM-2:00PM
2:00PM-5:00PM

Tuesdays between the hours of:*

8:00AM-11:00AM
11:00AM-2:00PM
2:00PM-5:00PM

Wednesdays between the hours of:*

8:00AM-11:00AM
11:00AM-2:00PM
2:00PM-5:00PM

Thursdays between the hours of:*

8:00AM-11:00AM
11:00AM-2:00PM
2:00PM-5:00PM

Fridays between the hours of:*

8:00AM-11:00AM
11:00AM-2:00PM
2:00PM-5:00PM

How would you prefer to meet?*

In-person (We're located at 501 W. Lake Street, Suite A)
Phone call (staff will call you at the number provided)
Video call (via Microsoft Teams)
No preference

Do you require a disability related accommodation for this meeting?

Yes
No

Please specify:

Do you need translation services?

Yes
No

For translation services, please select one of the following languages:

CONFIDENTIALITY:*

Information shared with Conflict Resolution Services will be kept confidential to the extent permitted by law. EXCEPTIONS: Staff are required to report any and all information related to incidents of sexual misconduct and/or interpersonal violence to the Office of Title IX Programs and Gender Equity. Allegations of child abuse or credible threats of future harm to any person shall not be held confidential and may be revealed as appropriate by staff.

I understand and agree to these conditions.

Phone

This field is for validation purposes and should be left unchanged.

Colorado State University

Student Resolution Center

Conflict Resolution Appointment Request Form