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Research Consultation Request Form

Your Name
Your Email Address
Is this for an individual or group consultation?
Your Preferred Date of Appointment (mm/dd/yyyy)
Date Picker
Preferred Time (hh:mm) AM PM
Your Alternate Date of Appointment (mm/dd/yyyy)
Date Picker
Alternate Time (hh:mm): AM PM
A brief description (1-2 sentences) of your topic and what research you have done already
If this is for a class, the name and/or course number (i.e, WRIT 300, IDIS 101, etc)
Would you like to meet online or in person
Leave this field empty