Service Catalog
Wolverine Wellness Inquiries
Campus-SL-WW-Inquiry

Campus-SL-WW-Inquiry

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This form should be used for any requests or inquiries you and your group have of Wolverine Wellness - from asking for a consultation, to having us lead a workshop, to requesting personal well-being items. Please note the following guidelines related to this form:
* Please submit the form at least 3 weeks from your preferred date, otherwise we may not be able to fulfill your request.
* Requests are reviewed based on the order they come in and may take up to a week (or more during breaks) to be reviewed. Due to the high number of requests we receive, please allow us at least a week to get back to you.
* If for any reason we cannot fulfill your request, we will provide suggestions about alternate tools and resources to meet your needs.

Contact Info

Preferred Email (if not your UMICH email)

We'll contact you via your UMICH address. If you prefer we use a different address, please enter that here.

Preferred Contact Phone Number - Please include the full 10 Digits

Request Info

Are you submitting a request/inquiry for a group or for yourself?

Individual

Group

We are only accepting & prioritizing new requests for Winter 2024 and beyond. Is this request for after January 8, 2024?

Yes

What group is your request for?

Student organization, residence hall, department, etc.

Who is the main target audience for this request?

You can choose more than one.

Who is the main target audience for this request?

Undergraduates

Graduates

Staff

Faculty

What type of request are you submitting?

For more information on the types of requests, please visit our Wolverine Wellness website. There you can find a description of the services we offer, which can help you in selecting the right request for you.

Provide a brief description and desired outcome for this class project and the deadline. This helps us determine who from our team would be best to meet with you.

Provide a brief description and desired outcome for this consultation

This helps us determine who from our team would be best to meet with you.

Provide 3 possible options of dates/times you would be available to meet for a consultation, starting at least two weeks out

Format the options as “mm/dd: time range” (e.g. 01/01: 12-1pm).

Would you prefer this consultation to be in-person or over zoom?

In-person

Over Zoom

Either

Describe the purpose of your tabling event

Include in your description if this is part of a larger effort or if we will be a stand alone table.

When will the tabling event take place? (mm/dd/yyyy hh:mm)

If you are flexible on the date or time, please list a preferred option.

Is this a pre-set time that should not be moved or are you flexible on the time?

You may be filling this form out at various stages of the event planning process so it is understandable to pick either option.

Is this a pre-set time that should not be moved or are you flexible on the time?

We have already determined the date and time of the event

We are still selecting the date and time of the event and are therefore flexible

Where will the tabling take place?

Please list the whole name of a building rather than an acronym.

How many people do you expect will be in attendance for this event?

Is there a specific topic would you like us to focus on while tabling?

Intro to Wolverine Wellness & Well-being Resources

Sleep: "Restoring Your Power"

Body Image and Mindful Eating: “Embracing Every Body & All Bodies”

Sexual Health and Stigma: “Your Power to Decide”

Alcohol and Other Drugs: “Awareness Hour”

Other (please specify)

If other, please explain

Which topic would you like us to give a workshop on?

Navigating the Mosaic: An introduction to well-being discussions and resources

well-BEING ME: the intersectionality of well-being, identity, and equity

The Downfall of Perfectionism

Balancing Books and Bliss: stress & wellbeing can coexist

Happy Hour: raising awareness around alcohol and other drugs

Describe the purpose of your event

Please include information on the other departments who will be represented on the panel.

When will the workshop take place? (mm/dd/yyyy hh:mm)

Note: Workshops range from 45-90 minutes. If you have an event that spans longer than this, please only list the time frame in which you will need Wolverine Wellness there for the workshop.
If you are flexible on the date or time, please list a preferred option.

Is this a pre-set time that should not be moved or are you flexible on the time?

You may be filling this form out at various stages of the event planning process so it is understandable to pick either option.

Is this a pre-set time that should not be moved or are you flexible on the time?

We have already determined the date and time of the event

We are still selecting the date and time of the event and are therefore flexible

Will the workshop be in-person or virtual?

In-person

Virtual

If in-person, where will this be located?

Please list the whole name of a building rather than an acronym.

Will attendance be collected at the event?

We preference requests from groups that require attendance, or where students are incentivized to attend. To protect the time of all involved parties, we ask for a group minimum of at least 15 individuals. We may ask that you provide us an attendance list following the event.

Will attendance be collected at the event?

Yes

How will the attendance be collected?

Include: Sessions Track Link, Class Roster, etc

How many people do you expect will be in attendance for this event?

Enter approximate number.

Which offering are you interested in?

For more information on these offerings, please visit our Well-being Academy website -- https://uhs.umich.edu/wellbeing-academy Please note that the Introduction to Motivational Interviewing 20 hour training is offered once in the Fall and once in the Winter semesters. Registration for this training will be available on sessions.
Fall 2023: https://sessions.studentlife.umich.edu/track/ev...
Winter 2024: https://sessions.studentlife.umich.edu/track/ev...

Which offering are you interested in?

Compassionate Conversations (2 hours)

Wellness Ambassador Training (8 hours over 2 days)

Introduction to Motivational Interviewing (20 hours over 4 weeks)

Would this training be just for you or a team?

Individual

Team

What is the size of your team?

When would you like to have this training?

We try to combine trainings whenever possible. If another group is hoping to have the training around the same time as you/your group we will coordinate to find one training time which works for all parties.

When would you like to have this training?

Sometime in the next month

Sometime before the end of the semester

Sometime next semester

Which offering are you interested in?

These options are training programs and academic partnerships available to instructors to help incorporate well-being into their work with students. Select the topic which best aligns with what you hope to accomplish.
For more information on these offerings, please visit our Well-being Academy website https://uhs.umich.edu/wellbeing-academy

Which offering are you interested in?

Advisors and Mentors Training and Support

Faculty-facing Compassionate Conversations

Designing & Teaching Well-being Courses and Modules

Intro to the Wellness Check-in Intervention for Large, Introductory Courses

Consultations for Integrating Well-being into Department Curriculum and Policies

Well-being Toolkit for Supporting Student Well-being (tools, resources, skill-building)

Would this training be just for you or a team?

Individual

Team

What is the size of your team?

This is a numeric only option

We would like to schedule a kick-off meeting to discuss a plan forward in more detail. Please provide 3 possible options of dates/times you would be available to meet for a kick-off meeting, starting at least two weeks out

Format the options as “mm/dd: time range” (e.g. 01/01: 12-1pm).

Describe the purpose of your event

Please include information on the other departments who will be represented on the panel.

When will the event take place? (mm/dd/yyyy hh:mm)

If you are flexible on the date or time, please list a preferred option.

Is this a pre-set time that should not be moved or are you flexible on the time?

You may be filling this form out at various stages of the event planning process so it is understandable to pick either option.

Is this a pre-set time that should not be moved or are you flexible on the time?

We have already determined the date and time of the event

We are still selecting the date and time of the event and are therefore flexible

Will the event be in-person or virtual?

In-person

Virtual

If in-person, where will this be located?

Please list the whole name of a building rather than an acronym.

Will attendance be collected at the event?

We preference requests from groups that require attendance, or where students are incentivized to attend. We may ask that you provide us an attendance list following the event.

Will attendance be collected at the event?

Yes

How many people do you expect will be in attendance for this event?

Enter approximate number.

Which topic would you like us to discuss on the panel?

Which service are you requesting from the Collegiate Recovery Program?

For general information about the collegiate recovery program, visit their website: https://uhs.umich.edu/recovery

Which service are you requesting from the Collegiate Recovery Program?

Consultation with Program Manager Matt Statman

Panel with Students in Recovery

Recovery Ally Training

Provide a brief description and desired outcome for this request.

When will the panel take place? (mm/dd/yyyy hh:mm)

If you are flexible on the date or time, please list a preferred option.

Is this a pre-set time that should not be moved or are you flexible on the time?

You may be filling this form out at various stages of the event planning process so it is understandable to pick either option.

Is this a pre-set time that should not be moved or are you flexible on the time?

We have already determined the date and time of the event

We are still selecting the date and time of the event and are therefore flexible

Will the event be in-person or virtual?

In-person

Virtual

If in-person, where will this be located?

Please list the whole name of a building rather than an acronym.

How many people do you expect will be in attendance for this event?

Enter approximate number.

Would this training be just for you or a team?

Individual

Team

What is the size of your team?

This is a numeric only option.

Why are you requesting a therapy dog?

Keep in mind, our dogs have limited availability.

What day would you like to have a therapy dog? (mm/dd/yyyy)

Please submit this request at least 4 weeks prior to your event to accommodate the handlers’ schedules.

What time frame would you like a therapy dog to be present at the event (e.g. 2-3pm)?

Our therapy dogs are available for time frames of 60-90 minutes. They are not available at night so please offer a time frame between 9am-6pm.

Which therapy dog combo are you requesting?

For alternative options, visit https://www.therapaws.org/#footerjump

Which therapy dog combo are you requesting?

Hawkeye - The Alaskan Malamute and best friend / handler Raissa

Sherlock - The Golden Doodle and best friend / handler Rajshree

Where will this event be located?

Include the full building address and room number if available.

Please explain the mission of your organization/group and how it directly relates to health equity within the U-M student population

Refer to https://uhs.umich.edu/equity for more information on what is health equity.

What are the goals for your initiative?

Please note that our grant is specifically allocated to support initiatives targeting UM students as the primary audience.

How much grant money are you requesting (maximum of $500)?

What would the funding be used for? Please provide us with your current budget breakdown

For example, $200 for production costs, $100 for staff, and $50 for other supplies, etc. Be as specific as you can.

Are you collaborating with any other groups or receiving other funding for this project?

If yes, please provide details.

When are you planning to do your project/event/program?

How many students do you expect to participate?

Is there anything else you would like us to know about your group or your project?

Describe the reason/purpose why you are requesting these well-being supplies

Which items would you like included?

Safer Sex Items

Narcan

Sleep Kit

How many of each item are you requesting?

There are limited quantities so please be mindful of the size of your request.

Thank you for filling out the request so far. We are always happy to work with new groups and want to ask a few more questions to inform us how we can collaborate moving forward.

Have you worked with Wolverine Wellness before?

Yes

What is your affiliation with the University?

Student

Staff

Faculty

Other

How did you find out about Wolverine Wellness?

Tabling Event

Social Media

Website

Course Syllabus

Campus Partner

Friend

Other (please specify)

If other, please explain.

If you are a staff or faculty member, would you be interested in developing partnerships with us in the future? A partnership may include collaborating on well-being initiatives

Yes

Not at this time

Attachment

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Description

Provide a short and concise description of your inquiry i.e. “Workshop request for Career Services”

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Other Fields

Your name

Your first name

Your last name

Your email address

Verification Code