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Student Request for Advising Appointment or Class Permissions

Please supply all data which applies. Failure to do so may delay processing.
*An asterisk indicates a required field.

Tentative appointment times will be emailed to you and must be confirmed.

*Name:
 
*Student ID
 
Date of Birth:
 
*Phone:
 
*IUPUI E-mail:
 
Major:
Request an appointment with:
 
Category:
Undergraduate        Graduate  
Reason for visit:
 

Dates and times you are available for an appointment
(Please supply multiple options):
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If needing Class permission (Undergraduate Students Only):
Class information: SPEA-
 Example: SPEA-J  
Course:
 Example: 101  
Section Number:
 Example: 12345  

Additional comments:
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