Counselor Contact Form

Please fill out this form and an Academic Counselor will contact you to assist with your questions. Contact from the Counselor will be via e-mail unless you do not have an email address.

Name*
First Last
Student ID #
Email*
Phone
Which counselor would you prefer?
- Tanya Dadisman
- Matt Egger
- Lisa Ketelsen
- Kristy Molencamp
- Bridget Shultz
- Steven Story
- Lisa Vance
- Drew Verstegen
- No Preference
Hidden
Which counselor would you prefer?*
Please provide your questions about registering courses:*
Comments
This field is for validation purposes and should be left unchanged.

No Preference
Tanya Dadisman
Gary Herrig
Dan Gratz
Bridget Shultz
Lisa Vance

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Counselor Contact Form