Meet with Mariah form

Please fill out this form to schedule a counseling appointment with Mariah Bruening, ATR, LPCC-S.
 

Mariah's office hours:

 
  • Tuesday: 8am-4pm (BMAC 244)
  • Wednesday: 9-5 (BMAC 244)
  • Thursday: 11am-7pm (BMAC 244)
  • Friday: 9am-2pm (Counseling Center, 207 Beech St)
  • Saturday: 10-1pm (Virtual appointments)
  • Sunday/Monday: Off
What is your name? *

Comments:



What is your BW student ID number? *


What is your cell phone number? *


What is your BW email? *


May we communicate via email? *


May we call your cell phone? *


May we leave a voicemail message on your cell phone? *


What is your availability for appointments? Please provide as many options as possible.


Mariah's office hours:


Tuesday 8am-4pm
Wednesday 9-5
Thursday 11am-7pm
Friday 9am-2pm
Saturday 10-1pm

Sunday/Monday Off
*