First Name
*
Last Name
*
Email
*
Address
*
City
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State
*
Postal code
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Phone
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Date of birth
*
Type of Appointment Requested
*
Phone
In Person
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Name of Advisor
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None: New Student
Brandi Ketcham (Canton)
Sarah Fouts (Canton)
Patrick Denecke (Macomb)
Jade Powers (Macomb)
Stephanie Howerter (Havana)
Janet Young (Rushville)
Brandy Chasteen (TRIO Canton)
Johna Lawens (TRIO Macomb)
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First Choice: Date of Appointment
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Time of First Choice
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8:30am
9:00am
10:00am
10:30am
11:00am
11:30am
12:00pm
12:30pm
1:00pm
1:30pm
2:00pm
2:30pm
3:00pm
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Second Choice: Date of Appointment
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Time of Second Choice
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8:30am
9:00am
9:30am
10:00am
10:30am
11:00am
11:30am
12:00pm
12:30pm
1:00pm
1:30pm
2:00pm
2:30pm
3:00pm
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Location of Classes
*
Canton
Havana
Macomb
Rushville
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