Faculty Connections Request

Student Information

*First Name

*Last Name

*Birthdate

*Email

*Cell Phone

*Mailing Address

Country

Street

City

Region

Postal Code

*Intended Entry Term

*Student Type

Have you applied to Stetson?

Yes

No

Are you signed up for our mailing list? (Do you currently receive information from Stetson?)

Yes

No

Additional Information

Extracurricular Organizations

Hobbies/Interests

Connection Type

*Who do you want to connect with?

Academic Programs & Faculty

Student Organizations

Academic Success

*How do you want to connect?

Virtual Meeting

Phone

Email

*Major Interest

What question(s) are you hoping to get answered by faculty?

Availability

*What time of day are you available?

Morning (9-11am)

Afternoon (1-3pm)

Evening (4-6pm)

Please list any other information that could be helpful in planning your connections.