Schedule an Appointment

Fordham University The Jesuit University of New York

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Lincoln Center AODE

Schedule an Appointment

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Schedule an Appointment

Schedule an Appointment

Please use this form to schedule your first BASICS, Innerview, AlcoholEdu or E-toke appointment.

AODE Program staff will schedule your session using the schedule that you provide. You are responsible for having an appointment scheduled prior to your deadline. If you do not attend a scheduled appointment, you may be fined for failure to comply.

First Name	Last Name


Class Year	Fordham ID Number
	- -

Type of Referral


Cell Phone Number	Local Address (i.e. Residence Hall or Street Address)


Who Referred You (i.e. name of the Residential Life/Student Affairs administrator)


Weekly Class Schedule


Schedule of Other Obligations for the Next 2 Weeks (i.e. work hours, practice, internship)

For a description of the AODE Program, please visit our website: www.fordham.edu/aode or contact us directly at aodelc@fordham.edu

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Edited by: Edward Wahesh

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