Fordham University            The Jesuit University of New York
 


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

Site  | Directories
Submit Search Request