WCBA VIRTUAL MEETING REQUEST FORM

First Name *

Last Name *

Preferred Name

Email *

Preferred Phone Number *

Please select which best describes You *

When do you plan to attend YSU? *

Please select your meeting Preference *

What program/major are you most interested in? *

What program/major are you most interested in? Other...

Are there specific topics you would like to make sure we discuss when we meet? *

Select a meeting time and date

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Meeting Times *

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