Name (First / Last): |
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N#: |
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What type of appointment are you requesting? |
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Are you enrolled for the current semester? |
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Are you currently seeing a PERCH counselor? |
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Mobile Phone Number: |
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Do we have permission to call and/or text you? |
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UNF Email Address*: |
*our policy is to only email UNF email addresses
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Do we have permission to email you? |
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Are you okay with holding a Zoom video appointment? |
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Current Address: |
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Best Days Available for Appointments: (select all that apply) |
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Best Times Available for Appointments: (select all that apply) |
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