Students Supporting Students (Scube) Intake Form

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This form helps monitor our daily interactions with students online. Every time you fill out this intake form, you support Scube by influencing our services and the funding of our program with your participation.

Please take a few seconds to fill it out, thank you!:)

Today's date

YYYY

Name *

Student Identification Number (W or @ number) *

Reason for Visiting Scube Today *

For more information on our programming, please leave you contacts (Email/Phone)

Anything else you would like us to know?

Thank you for filling out the form! Interested in Scube? Keep in touch with us:

If you have any follow up questions, you can email us at: scube@mail.ccsf.edu

You can also stay updated on our programming and anything CCSF related on social media. Go ahead and follow us on:
Instagram @scubeccsf, Facebook @s3ccsf and Twitter @ccsfscube.

Don't be a stranger, hope to see you soon! - Students Supporting Students

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