Central Piedmont Cares
These are challenging times and getting the information you need can be overwhelming. Central Piedmont cares and we’re here for you. We want to connect you with the information and resources you might need to help navigate the coming weeks.

Please complete the form below and a Central Piedmont staff member will reach out to you within 2 business days.
Sign in to Google to save your progress. Learn more
IMPORTANT: For current Central Piedmont students you will be required to enter your Central Piedmont student ID number and student email address. This information will help us reach out to you as quickly as possible. Please have this information available before you begin this form. Inaccurate information will delay our response to you.
First Name *
Last Name *
Please let us know what information you're looking for by checking the boxes below (check all that apply):
Need Information
Academic Concerns
Advising/Scheduling Classes
Career Services
Child Care
College Transfer Questions
Disability Services
Emotional Well-being/Stress
Financial Aid Questions
Food Assistance
Housing Assistance
Personal Financial Concerns
Relationships/Home Conflict
Technology Help
Testing Questions
Transportation Assistance
Tuition/Books Assistance
Tutoring Help
Veterans Questions
Other Concerns
For each of the items you checked above, please describe the issue(s) you are experiencing (please do not include confidential personal or medical information) *
If you have concerns regarding specific classes that you are currently enrolled in, please list those classes below (Course Number, Section, and Name):
Are you a current or prospective student? *
Clear form
Never submit passwords through Google Forms.
This form was created inside of CPCC - Employees. Report Abuse