Academic Support Programs Services Request

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Please use this form to let us know what services you are requesting from our office - this is for one-on-one student consultations or coaching, or faculty/staff meeting with our staff (please see Academic Workshop Form for organizations).

Once this form is sent to our office, we will contact you to set up a time for your meeting. In efforts to keep records correct, please only fill out one form (creating multiple forms will cause a delay in response times). Please know that our office is closed on Saturdays and Sundays and if submitted during that time, we will follow up with you the following week. Responses could take between 24 and 48 hours. We try to accommodate all requests but meeting times depend on the availability of our staff.

If you have any questions or need any additional information, please email us at asp_cssfye@olemiss.edu, call at 662.915.1217, or visit us in the Johnson Commons East.

Email *

First & Last Name: *

Ole Miss Email: *

Phone: *

University ID Number:

Academic Classification: *

Major/Academic Department, if known: *

Reason for Request: *

Academic Consultation (one-on-one meeting)

Student Success Coaching (one-on-one meeting)

Contractual Readmission Program

General Request Meeting

EDHE 101: Academic Skills for College

EDHE 202: Fundamentals of Active Learning

EDHE 303: Academic Skills for Transfer Students

Tutoring Resources

Time Management & Organization

Study Skill Strategies

Learning Styles and Inventory Assessment

Test Preparation

Note Taking

Peer Mentoring Program

Other:

Required

If other, please specify:

Is this request for a class assignment? If so, which class?

How did you hear about CSSFYE Academic Support Programs? *

Professor/Faculty

Academic Advisor

Staff Member

Another Ole Miss Representative

Peer/Classmate/Friend

Orientation Leader

Tutor

ASP Marketing on Social Media

Parent

Other:

Required

Selecting a time for a meeting

Once this form has been sent to our office, we will send you a Calendly link for you to select a time to meet with one of our representatives. Please allow up to 48 hours for this to take place.

Thank you!

Once this form is received in our office, we will contact you to set up a time for your meeting. In efforts to keep records correct, please only fill out one form (creating multiple forms will cause a delay in response times). If you have specific questions, please see above in how to contact our office.

A copy of your responses will be emailed to the address you provided.

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