Submitted by fitzmartin on Wed, 2016-06-15 15:57 1 Start 2 Complete Below you will find the form fields for the Student Inquiry Web Form. Please fill out all fields and use the submit button at the end in order to ensure that your form is submitted properly. If you have any questions, comments, or concerns, please contact us at counselingcenter@aum.edu or call 334-244-3469. Thank you! Student Name * Student Number Phone Number * AUM Email Address * Are you currently an AUM student? * I am currently an AUM student. I am currently NOT an AUM student. Are you a client of the AUM Counseling Center? * I have PREVIOUSLY been a client at the Counseling Center. I have NEVER been a client at the Counseling Center. What kind of appointment do you need? I would like to schedule an intake (first) appointment. I would like to make an appointment for Individual Therapy. I have a request other than counseling. Do you prefer phone call or email? Phone Call Email What appointment time would you prefer? 9:00-11:00 A.M. 11:00 A.M.-1:00 P.M. 1:00-3:00 P.M. What appointment day would you prefer? Monday Tuesday Wednesday Thursday CAPTCHA This is to test whether or not you are a human visitor and to prevent automated spam submissions. Submit