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Request FASS Staff for an Event
Please complete the following form to request information and/or financial aid representation for an event or presentation.

If you have questions, contact Financial Aid and Scholarship Services.

* Fields require completion
Name of CNM department or organization making the request
Contact Person's Information
Name *
Phone No.*
Email *
Event Information
Event Name *
Date *
Time Event Begins *
Time Event Ends *
Event Type
Detailed information about event location (e.g. name of school, off campus location, etc.)
Please describe your audience (i.e. Nursing students, Non-traditional students, etc.)
Today's Date *
Print this form before pressing the Submit button