College and Career Center Meeting Request Form
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Name (First and Last)       *
Pronouns (Not Required, But Appreciated)
Student ID: *
Student Email:  *
What Topic Would You Like to Discuss?  *
What period(s) are you available? *
Required
What time(s) during the above period(s) would you be available? 

If you have multiple openings, please specify. 
For example: 
Period 1:  All Period (Open Study)
Period 3: 11am-11:20am (Advisory)  
*
Is there a specific date that you would prefer? Please make sure this preferred date is at least three days ahead so I have time to put it on my schedule. (E.g., if you register on the 1st of the month, please ensure your preferred date is the 4th at the earliest) 
MM
/
DD
/
YYYY
Is there anything you would like for me to know about you or about your selected topic before I schedule our meeting? (E.g., "I want to learn about Academic Accommodation options at [University]", or "I'm thinking about this one program, but I want to find learning opportunities in my area to try it before I commit.") 

If you have no questions, you can write, "No." 
*
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