Advisor Interest Form

First & Last Name:

Email Address

Title:

Office Box Number & Room Number (ex. Box 870292, 213 Houser Hall ):

Office Phone #:

Please read the following acknowledgement carefully:

I acknowledge that I am currently employed as a full-time faculty or staff member at The University of Alabama.

I also acknowledge that if at anytime during this specified year I am no longer interested in being listed as a willing advisor for student organizations or if my status with UA has changed, that I will notify representatives in the Office of Student Involvement.

Yes, I acknowledge and understand.

I will not acknowledge at this time.

Please provide any areas of interests that you might have, so that we can properly connect you with organizations that might have similar interests.

List Any Interest Areas