SSS Spring 2022 Academic Check in and Survey
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Last Name, First Name *
Student ID *
If your address has changed since August 2021, please let us know.
Tusculum Email: *
Cell phone # *
Are you a commuter? *
Major or Program of Study? *
What is your status for this semester? *
What are your academic goals for this semester? Be specific (Examples: Make a B in Statistics; finish the semester with an overall 3.0 GPA; take the PRAXIS test for education program; choose a major, etc.) *
What are your academic concerns for this semester? Be specific (Examples: I will need tutoring for statistics class, I need help researching and writing a paper, I am worried about my GPA because I am on probation, I am taking too many courses) *
What type of support do you need from the Center for Academic Success and Tutoring?  Please check all that apply. *
Please list any subjects or courses in which you may seek out tutoring: *
What would help you feel most comfortable in seeking out tutoring support?
Would you like more information about the online career resources below? Please check all that apply
Are you interested in Graduate School?
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If yes, what type of graduate programs are you considering?
Are there particular graduate schools that you are interested in visiting or learning more about?
What financial aid concerns do you have this semester? *
Do you have any concerns about personal finances?
Do you need support or advice with any of the following? Please check all that apply.
Are you interested in having an SSS peer mentor?
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Are you interested in becoming a peer mentor
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Do you have access to regular meals each day?
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Do you have a permanent residence outside of campus?
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Do you need information or a referral to mental health services at Tusculum?
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IS there anything else you would like to share with the SSS staff?
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