Student Support Self-Request

Student Support Self-Request
If you are currently in need of help with any of the issues below, please fill out this form. Once finished, click "Submit". Your responses will be submitted to the Student Affairs team and we will reach out to you via Teams as soon as possible.
Student Name*
Email*
Please mark any areas below that you need immediate help with:*

I am struggling or behind in a classI am experiencing a mental health issue/am having trouble getting careI am experiencing a health issue/am having trouble getting careI am struggling with a learning disability/need accommodationsI am experiencing financial strugglesI am struggling to pay for schoolI am experiencing food insecurity/hunger/cannot afford foodI am having issues with transportationI do not have materials, supplies, or technology I need for a classI am experiencing homelessness or having housing issuesI am having an issue in the dormsOther. (Please describe in the comments box below.)
If you'd like to tell us more about your issue, please do so below.
Should be Empty: