The University of St. Thomas

Academic Support Center

Faculty and Staff Referral Form

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.

Referral Information
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

Comments:

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