Only use this form if:
And if:
All other students must be advised in person:
Name *
Street Address *
City, State, and Zip *
Email Address *
Phone Number *
Date of Birth *
Date of Request *
You must agree to the following provisions before you can be advised online:
I am interested in the benefits and convenience of communicating with my academic advisor for purposes of academic advising and consultation by means of the Internet and/or through the use of my E-mail communication system (hereinafter “Electronic Advising”). I understand that the Internet is not absolutely secure and that the possibility does exist that such Electronic Advising communication may be intercepted and/or otherwise may not remain fully confidential. In consideration of the opportunity to receive and benefit from Electronic Advising, I hereby acknowledge and personally accept the risk of such interception, and by checking this box, I will not hold the University of Arkansas at Little Rock, nor its personnel, responsible for the release of my confidential information by e-mail. Furthermore, I specifically authorize The University of Arkansas at Little Rock and its designated personnel to use, forward, and place (in addition to directory information) in E-mail communication, the information contained in confidential educational records such as, but not limited to, the following:
Student ID, Grades, GPA, Student’s Schedule of Classes, Course Recommendations, Transfer Course Equivalencies, Degree Plan (Plan of Study with Program/Major Requirements), Academic Standing and/or Status.
By checking this box, I specifically authorize the use of my educational records for purposes of Electronic Advising and acknowledge that I agree to assume all responsibility and risk in the event of an inadvertent/inappropriate release of said educational records should an E-mail transmission be intercepted.
I also agree to immediately communicate any changes in my E-mail address to the University and that this authorization will remain effective until specifically withdrawn and revoked by me.
*I Agree