Spring Quarter Check-In
Please complete this form if you would like to receive a check-in from the Physical Sciences Division's Dean of Students Office during Spring Quarter 2020. All responses will remain confidential.

A staff member is happy to discuss health and safety, physical and emotional well-being, and access to resources, but we are also happy to have a check-in to talk about how your quarter is going, strategies you are using for self-care during social distancing, and anything else you'd like to chat about.

If you need IMMEDIATE assistance or if this is an emergency, please utilize the resources listed on the DOS website: https://physicalsciences.uchicago.edu/academics/dean-of-students/resources-for-current-students/
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Name *
UCID # (starts in 10 or 12) *
Preferred email (if not an @uchicago.edu account, please adjust spam filter settings) *
Department/Program *
Degree Level *
Please indicate your preferred method for receiving a check-in from the PSD Dean of Students Office: *
If your preferred contact method is phone, please provide a phone number we can reach you. For international numbers, please include the country code.
If your preferred contact method is phone, please indicate which time frame(s) would work well for you to have a 15-30 minute discussion (you will have an opportunity to pick a more specific time in the future)
How often would you like a check-in? (Please note you can submit this form again if you change your mind) *
Please share anything you feel would make this a more productive conversation (e.g. topics you would like to discuss, any questions you have, etc.)
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