Thomas Family Center for Entrepreneurship
Thomas Family Center for Entrepreneurship
UNCP Home Academics at UNCP Outreach Thomas Family Center for Entrepreneurship Engagement THOMAS FAMILY CENTER FOR ENTREPRENEURSHIP COUNSELING INFORMATION FORM
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THOMAS FAMILY CENTER FOR ENTREPRENEURSHIP COUNSELING INFORMATION FORM

PART I: Client Request for Counseling

In request for our services, we need your full cooperation to assure quality and effectiveness of the services you receive. In this respect, we ask that you complete a written evaluation of the services you receive. We also ask that you have met the other requirements that would exempt the information from disclosure under the North Carolina Public Records Act.

In consideration of the advice and services provided to you, by signing below that agree that you are waiving all claims against the University of North Carolina at Pembroke, its employees, and students working with the Thomas Family Center, or any other person employed by or used during your consultation with the Thomas Family Center for entrepreneurship.

(this will be signed in person, during office visit)

PART II: Client Intake ( to be completed by client)

(mark all that apply)