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Franklin & Marshall
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Counselor Entry Form
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Counselor First Name
Counselor Last Name
Counselor Full Name
Email Address
Email (Device)
Device 1 Email
Device 1 Email
Email Address
Evening Phone
F&M Email
Mobile Phone
Primary Phone
Skype ID
Text Number
WeChat ID
Phone Number
Phone (Device)
Device 2 Phone
Device 2 Phone
Email Address
Evening Phone
F&M Email
Mobile Phone
Primary Phone
Skype ID
Text Number
WeChat ID
Affiliated School Name (Please begin typing school name and select from the dropdown list. For Independent Counselors, please start typing 'Independent Counselor' and select the name in the dropdown.)
Affiliated School CEEB (School CEEB auto-populates to verify the correct School/Organization Name was chosen above. If Independent Counselor, 999000 will populate here.)
Relation / Position in School
Alumni in School
Asst/Assoc Director
Athletic Director
Counselor
Director/Lead Counselor
Headmaster/Principal
Independent Consultant
Office Asst/Recept
Teacher
Working with students in:
International
Mid-Atlantic
Mid-West
Northeast
Pacific Northwest (including HI and AK)
Southeast
Southwest
Org. Name
Address
Address
Country
Street
City
Region
Postal Code
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