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Success Coach Referral Form

This form is for faculty, staff, and LCC stakeholders to refer students who may need additional support and resources to academic success coaches.

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* Is the student aware that you are referring them?


* Would you be interested in being part of this student's support network?



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Student Affairs Division

Student Affairs Division
Gannon Building
2nd Floor - StarZone
Phone: (517) 483-1200
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