College Student Inventory Referral Form

Name:  ___________________________  SS#:  _________________
   
Advisor:  __________________________    Date:  ________________

Please assign one rating to each referral made (1 = most important, 7 = least important) and send the department copy to the most important rated referral.  Students should contact needed services.
 
Rating
______1.  Student Support Services:  443-8862
(tutors, study skills, test prep., disability services)
Advisor Comments: _____________________________________________
____________________________________________________________
 
______2.  Career Services:  443-8597
(career counseling, labor market info., student employment)
Advisor Comments: _____________________________________________
____________________________________________________________
 
______3.   Counseling and Advisement:  443-8750
(personal counseling)
Advisor Comments: _____________________________________________
____________________________________________________________
 
______4.   Financial Aid:  443-8761 or 443-8864
(student financial aid)
Advisor Comments: _____________________________________________
____________________________________________________________
 
______5.   Child Development Center:  443-8833
(child care services)
Advisor Comments: _____________________________________________
____________________________________________________________
 
______6.   Health Services:  443-8755
(health information and assistance)
Advisor Comments: _____________________________________________
____________________________________________________________
 
______7.   Student Diversity Advocate:  443-8593
(student minority issues and concerns)
Advisor Comments: _____________________________________________
____________________________________________________________
 
 
White - student copy, Yellow - department copy, Pink - file copy


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Academic Advisement and Counseling