Faculty and Staff Student Support Services Prospective Student Form

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Faculty and Staff Student Support Services Prospective Student Form

Students wishing to participate in the Student Support Services program must complete this form, and if you are eligible, we will contact you for your intake interview. For additional services and information, contact the Student Support Services office at 339.4420 or 800.447.4091, ext—4420, or stop by the offices located on the lower level of Oaks Hall.

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Student Preferred Name, First and Last *

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Student Phone Number *

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Student Email *

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Course and Section *

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SCC Student ID

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Any other information you think would be helpful. *

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