Fordham University            The Jesuit University of New York

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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: or contact us directly at

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