VIP Peer Meetings Appointment Form

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Thank you for expressing interest in having a VIP Mentor Session! Please fill this form out to schedule a session with one of our Outreach Ambassadors.

Please note that this form is not a confirmation for your appointment. An Outreach staff member will follow up with you with further details via email.

Student's First and Last Name *

Student ID Number *

Email (please use the email you check the most frequently) *

Phone Number *

How many VIP appointments have you booked?

I have never booked an appointment/this is my first time

This is my second appointment

This is my third appointment

This is my fourth appointment

I have had more than four appointments

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