EmailMeForm
Office of Student Retention Sign-In Form
Student ID #:
*
Name
*
First
MI
Last
Shaw Bears Email:
*
What is your primary major/concentration
*
Please select
Biology
B-K Education
Business Admin Accounting
Business Admin Management
Chemistry
Communication Sciences and Disorders
Computer Information Systems
Computer Science
Elementary Education
English
Exercise Science: Fitness and Wellness
Exercise Science: Pre-athletic Training
Interdisciplinary Studies
Kinesiotherapy
Mass Communications
Mathematics
Political Science
Psychology
Public Administration
Recreation Management
Recreational Therapy
Religion and Philosophy
Social Work
Sociology
Sociology: Criminal Justice Concentration
Visual and Performing Arts-Music Concentration
Undecided
What is your current classification:
*
Please select
Freshman (up to 29 credit hours completed)
Sophomore (30 to 59 credit hours completed)
Junior (60 to 89 credit hours completed)
Senior ( 90 or more credit hours completed)
Why are you visiting the Office of Student Retention? (Select all that apply)
*
Academic advising
CASES
Class scheduling
Course withdrawal
Coursework issue
Email assistance
Financial Aid question
Grades
Housing question/concern
Moodle assistance
Personal matter
Textbook issue
University withdrawal
Other
Please describe your issue(s) relating to this visit in detail:
Would like to set up a phone conference or an appointment to discuss your issue?
*
Phone Conference
Appointment
Phone:
*
###
-
###
-
####