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Student ACE Referral Form for Faculty and Staff

University of South Carolina faculty and staff, please use this form to refer students to ACE if you think they would benefit from our Academic Success Coaching (help with academic skills, time management, goal setting) or other ACE services. Thank you for being concerned and taking the time to refer your student(s).

Please provide as much information as you know.

ALL FIELDS ARE REQUIRED
Student’s name:
Student’s phone number:
Student’s residence hall:
Student’s email:

Your name:
Your phone:
Your email:
Your department:
Your relationship to student:
Your concern:

Columbia, SC 29208 • 803-777-5430 • E-mail ACE