College of Chemistry Intake Form

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Please use this form to check in for your advising or Peer Advising appointment, or indicate you would like to drop-in to see your adviser.

If you are not a College of Chemistry student, you must use this form to let us know you're here. We will direct you to an adviser as soon as we can.

After you check in, you'll be taken to a Zoom link info page (for those whose appointments are virtual).

Email *

Student Identification Number *

Last Name, First Name *

What is your Major? (If you're not in CoC, please indicate your college as well.) *

Please Indicate if you have an appointment *

I have an appointment in-person

I have a virtual appointment

I would like to drop in for advising

I am meeting with a Peer Adviser

What can we help you with? (Check all that apply) *

I need a form reviewed and/or signed

I have a scheduling or enrollment issue/question

I have a regularly-scheduled check-in with my adviser

I am meeting with a Peer Adviser

I would like advice about how to succeed in one or more of my classes

I want to talk about changing my major, adding a minor or concentration, or doing a simultaneous degree

I want to know how to access campus resources

I have a personal/private/confidential matter to discuss

Other (I'll tell my adviser in person)

Required

Who is your Adviser? *

Korshid Tarin A-G

Jahzeel Flores H-R

Shamaya Pellum S-X

Maura Daly Y-Z and Director of Advising

Maritsi Perez Intake Adviser

CoC Peer Adviser

I do not know my College of Chemistry Adviser

I do not have a College of Chemistry Adviser

A copy of your responses will be emailed to the address you provided.

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