Faculty/Staff Conversation Request Form

Want to connect with a faculty or staff member from the Hendrix Community? Let us know by filling out the form linked below! We'd love to help get a conversation started! Don't worry right now about knowing a specific date or time you'd like to chat. That can be sorted out after the initial introduction.

Contact Information

First Name

Preferred Name

Middle Name

Last Name

Best email address for the Hendrix person to use to connect with you:

Best cell phone number for the Hendrix person to use to connect with you:

May we text you?

Yes

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

More About You

What school do you attend? You can search by either your school's full name or by location.

When do you plan to begin college?

Which best describes you?

First-Year

Transfer

Citizenship

Your Chat

What are some of your interests?

With which academic area(s) would you like to connect with? Please know we will try to accommodate your request but it is subject to availability. Please feel free to put down more than one area.

Would you like to connect with a staff member from Career Services, Counseling Services, Health Services, or the Office of Academic Support?

Yes

Which office(s) would you like to connect with? Please know we will try to accommodate your request but it is subject to availability.