Student Services
Office of Medical Education

COLLEGE OF
MEDICINE

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Request Appointment or Information

We understand that you are busy, especially during office hours, but we want to be here for you. Please use this form to give us a quick idea of how we can help, and what time would work best for you!

You are always welcome to contact us via email or phone.

Name*

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Email Address*

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Phone Number*

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I am a:

Prospective Medical Student
Admitted Medical Student
Current Medical Student
Former Student
UVM Faculty/Staff Member

I am requesting:

Information be emailed to me
An appointment

If requesting an appointment, indicate your general availability (select all that apply):

Weekday early mornings
Weekday lunches
Weekday daytimes
Weekday evenings
Weekends only

Other times (please specify):

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Select topic(s) that you would like information on and/or would like to discuss with Medical Student Financial Services:

Financial Aid Administration (FAFSA, eligibility, awards)
Scholarship Opportunities
Student loans (Origination, Disbursement, and/or Repayment)
Student Accounts (Billing, Tuition, Refunds)
Financial Wellness (personal finance)

Other:

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Please provide any additional information we should know:

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Student ServicesOffice of Medical Education

Request Appointment or Information

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Office of Medical Education