Sport Psych Sign Up Form

Sport Psych Sign Up Form

Services are available to currently rostered intercollegiate student athletes. Please, do not use this form for emergency or urgent communication/requests. If you are in crisis, call 911 or contact UMN 24 Hour Crisis Line- (612) 301-4673 or Text "UMN" to 61222.
Have you participated in individual UMN sport psych services before?*

YesNo
Student Athlete Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
UMN Email*
spsy000@umn.com
Preferred Contact Phone #*

Area CodePhone Number
Sport*

Women's BasketballMen's BasketballWomen's Swimming / DivingMen's Swimming / DivingWomen's TennisWomen's Track and Field / Cross CountryMen's Track and Field / Cross CountryWomen's HockeyMen's HockeyWomen's GolfMen's GolfWomen's GymnasticsMen's GymnasticsVolleyballSoccerSoftballBaseballRowingFootballWrestling
Academic Year*

FreshmanSophomoreJuniorSenior5th Year SeniorGraduate Student
Are you currently an active roster student athlete?*

YesNo (i.e. I have medically retired, graduated, not cleared to participate in sport by UMN team physician, an Olympic year off, exhausted eligibility, been cut, or quit my sport team)
Please indicate your availability for the semester below:*

Monday 7AM-11AMMonday 11AM-2PMMonday 2PM-5PMTuesday 7AM-11AMTuesday 11AM-2PMTuesday 2PM-5PMWednesday 7AM-11AMWednesday 11AM-2PMWednesday 2PM-5PMThursday 8AM-11AMThursday 11AM-2PMThursday 2PM-5PMFriday 8AM-11AMFriday 11AM-2PMFriday 2PM-5PM
If there are specific times between 7AM - 5PM Mon - Fri that work well for you to schedule, please indicate below. Or any additional comments:
When will I hear back?

A sport psych staff member will email you back with available session times within 3 business days, Monday - Friday. We do not check sign-ups on weekends or holiday breaks. We make every effort to be as timely as possible in scheduling student-athletes, however there may be occasions where we get delayed. All student-athletes can also sign-up for sport psych appointments directly through their athletic trainer at anytime, which may be faster.
Sign up form submitted on:

MonthDayYear
Date
Should be Empty:

Sport Psych Sign Up Form

When will I hear back?