Missed Two Counseling Appointments

Students who missed two or more counseling appointments in one semester will need to fill out this form, before being allowed to schedule another counseling appointment.

The Counseling Office Supervisor will review your request and notify you if you are approved to schedule a third counseling appointment.


Student first name:


Student last name:


Student ID:








Comment: (Please list below a detailed reason why you missed two counseling appointments and how you plan to attend a future appointment.)




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