Bursar’s Office

APPOINTMENT REQUEST FORM

Appointments are available Monday through Thursday from 9am-
Name: _________________________________________ 11am and from 2pm-4pm.

Student ID #: ___________________________________ Please be advised that we cannot guarantee that your preferred
day/time will be accepted.
Phone #: _______________________________________ If we are not available during the day/time you indicate, we will
contact you to reschedule.
Email: _________________________________________
Please place your completed request form in the dropbox that is
Preferred Days/Times (Please list three options): attached to this reception desk.
1._____________________________________________
Once your appointment is scheduled, you will receive a calendar
2._____________________________________________ invitation from bursar@hartford.edu.

3._____________________________________________

Purpose of Appointment: _________________________

_______________________________________________