Southwestern Community College
Learning Assistance Center Referral
To (Student):
	Date:  	
From (Instructor): 	
	Instructor’s Signature:   	
Southwestern Community College is committed to your success. Please take this form to the Learning Assistance Center (LAC), upper floor of Oaks Hall on the main campus or on the main floor at the Macon campus, and seek assistance in the area(s) indicated below.	
Writing	
	gathering ideas		organizing ideas		supplying details	
	developing thesis		other	
Editing	
	sentence structure		grammar		spelling	
	paragraph development		punctuation		details	
	transitions		other	
Documenting	
	MLA Style		APA Style		Evaluating Sources	
	other	
Reading	
	identifying thesis		increasing vocabulary			
	understanding ideas		writing summaries and responses	
	other	
Study Skills	
	getting organized		taking notes		preparing for tests	
	managing time		other	
Math	
	solving word problems		basic arithmetic		using a calculator	
	reviewing material		other	
Computer	
	basic survival skills		PowerPoint		Excel	
	basic word processing		other	
Instructor’s Comments: Please list any other subjects that the student needs assistance with and any other information that would help us to serve him/her; for example, is the student an ESL learner? Also, please advise your student to bring the assignment guidelines and any relevant information to the LAC. (Please write clearly.)	

	
Learning Consultant’s Feedback (Please write clearly.):	

	
Time and Date Student Visited LAC
	Amount of Time Spent with Student
	
Learning Consultant Signature 
	Date	
Learning Assistance Center Coordinator Signature
	Date