COUNSELING BASE

WELCOME TO THE COUNSELING BASE.

This base has been designed with the purpose of helping ENT students in their graduation quest, and some times in their personal problems if so desired.

Feel free to enter the information requested in the appropriate blanks below. Also you can enter the time and day of the week that you can be contacted. This information is helpful if you want direct contact with Prof. V.

YOUR NAME:
TELEPHONE:

Graduation date: (Approximate)
List COURSES being taken this Semester: (ie. ENT-4732, Max: 4 from most to least important)
Course1: Course 2: Course3: Course 4:

Do you want to be contacted by Prof. V ?
YESNO
If answser YES above, provide best TIME/DAY of WEEK to contact you:

Your E-MAIL or Address (if not using your own):


State below your main concern or problem: (This information will be used as basis for counseling and will be kept confidential.)

SUBMIT: ERASE INFORMATION: