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Learning Assistance Center Self-Referral
 
Full Name : (Required) Today's Date
E-mail: Phone:
Course: Instructor:
I would like to request assistance in the following areas: Please contact me via:
    E-mail    Phone   Either way
Writing gathering ideas
developing thesis
organizing ideas 
supplying details
other (describe below)
   
 
Editing sentence structure
paragraph development
transitions
details
grammar
punctuation
spelling
other (describe below)
 
Documenting MLA Style
APA Style
other (describe below)
 
Reading identifying thesis
understanding ideas
writing summaries and responses
increasing vocabulary
other (describe below)
 
Study Skills getting organized
managing time
taking notes
preparing for tests
other (describe below)
 
Math solving word problems
reviewing material
basic arithmetic
using a calculator
other (describe below)
 
Computer basic survival skills
basic word processing
PowerPoint
EXCEL
other (describe below)
 



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