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FIRST NAME *

LAST NAME *

Student ID # *

PHONE NUMBER *

EMAIL ADDRESS *

TYPE OF STUDENT *

Current Student
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Not Applicable
New Student: follow theses Steps: https://sussex.edu/admissions/what-type-of-student-are-you/new-student/

AREA OF STUDY

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Zoom Meeting
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Please provide us with an explanation of how we can assist you during your appointment. *