Faculty and Staff Referral Form

Academic Support Center

*This form is currently unavailable. To refer students, please email kmschulze@stthomas.edu with the student's name, student ID, and your concerns.

-Thank You

 

 

Please fill out the following information and submit the form.  Students are responsible for calling or coming down to the Academic Support Center to make the appointment.  If we have not heard from the student within 3 days we will contact the student via e-mail.

 

Student's Name 
Date Referred 
Referred By  e-mail address

 

Select any areas which are of concern:
Test-taking Time Management
Understanding content area reading Problems with English as a second language
Other  

 

Please Comment:

 

If you have questions, please e-mail kmschulze@stthomas.edu or call 962-6317