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Please use this form to refer a student who is in need of receiving an Academic Life Coach. Once the form has been reviewed, the student will be contacted to determine their interest in receiving coaching. Please note that coaches are available on a first come, first serve basis and the student may be added to a waitlist.
Student Information
Students Full Name
OU ID Number
OU Email
Referrers Name
Referrers Email
What year is the student?
First-Year
Sophomore
Junior
Senior
Graduate Student
Is the student aware that you are referring them to the Academic Life Coaching Program?
Yes
No
In what capacity do you serve the student?
Faculty
Advisor
Staff
Other (please specify)
Please provide any additional details that will help us match the student to an Academic Life Coach. Also include any specific struggles that the student is currently experiencing.
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