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SCSU Percussionist Assistance Request Form 2024-2025
First name
Last name
Email
Phone
Address
Major/Field of Study
Year of Study
Freshman
Sophomore
Junior
Senior
Graduate Student
Are you seeking assistance in developing LEADERSHIP QUALITIES? (Yes/No)
Yes
No
If yes, please specify the areas of LEADERSHIP you are interested in:
Public Speaking
Conflict Resolution
Team Management
Financial Management
Event Management
Are you seeking assistance with your ACADEMIC SUCCESS?
Yes
No
If yes, please specify the areas where you need support:
Tutoring
Study Group
Time Management
Test Preparation
Study Skills
Are you seeking FINANCIAL support?
Yes
No
If yes, please specify the type of FINANCIAL support you are requesting:
Scholarships
Emergency Funds
Internship Opportunities
Budgeting Support
Are you seeking MENTORSHIP?
Yes
No
If yes, please specify the areas of MENTORSHIP you are interested in:
Academic Guidance
Career Advice
Personal Development
Networking Opportunities
Please provide any additional information or details that will help us understand your needs better:
How would you prefer to be contacted?
Email
Phone
Preferred Contact Time
Morning
Afternoon
Evening
Submit
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