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Appointment
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Appointment Request

If you would like to request an appointment with a counselor, please submit the following form or call (859) 246-6530.

Please select how you would like to be contacted and provide the following contact information:

Your Name
You must provide at least one phone number with call time or your email address (the form does not submit automatically send your email address).
Work Phone
Please tell us a good time to call.
Home Phone
Please tell us a good time to call.
E-mail
For what reason are you requesting this appointment: (Check all that apply.)
Career Counseling  
Personal Counseling  
Academic Counseling (NOT scheduling/advising*)  
Other  
*Academic Counseling is not academic advising. Advising and scheduling questions should be taken to the academic advisor for your major. For a list of advisors, go to the Advising and Assessment Center, Oswald Building 109, or call (859) 246-6224.
Today's Date:
When would you like your appointment? What days and times are best for your schedule?
I prefer to be seen on the following campus:
Please select the counselor you would like to see: