Learning Specialist Request Form
Learning Specialist Appointment Request
Cnumber:
Required
Name:
Required
Email Address
Required
Phone Number:
Required
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)
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Major
Required
Year:
Required
Freshman
Sophomore
Junior
Senior
Masters
Doctorate
Requesting Assistance In:
Required
College Textbook Reading Strategies
Organization
Study Strategies
Time Management
Test Taking
Notetaking
Please enter any other pertinent information:
Please list days and times you are available:
Required
We will contact you by phone or email shortly.