Student Referral Form Staff/Professor Information Name Campus Blg/Ofc# Dept. Phone# E-mail Student Information Full Name SID# Phone E-mail Major Class Select Class Standing ---------------- Freshman Sophomore Junior Senior Type Of Referral Academic Advising Tutoring Other Course Information Course/Section Number Instructor Time/Day Before Sending This Form STEP 1: Review this form for accuracy and make sure all fields are complete. STEP 2: Press the SEND button to submit the form. STEP 3: Press YES/OK on the submission pop-up window. (If your browser is not configured to send email you will receive an error.) STEP 4: Press the DONE button. Student Referral Form. Copyright © 1999 [Academic Initiatives For Mentoring Students]. All rights reserved. Revised: September 28, 2004 AIMS Home SAFE UTOP PRODUCE Bridge to the Doctorate TRACE FORMS Newsletter UNCC Home
Staff/Professor Information
Name
Campus Blg/Ofc#
Dept.
Phone#
E-mail
Student Information
Full Name
SID#
Phone
Major
Type Of Referral
Course Information
Before Sending This Form
STEP 1: Review this form for accuracy and make sure all fields are complete. STEP 2: Press the SEND button to submit the form. STEP 3: Press YES/OK on the submission pop-up window. (If your browser is not configured to send email you will receive an error.) STEP 4: Press the DONE button.