LCC Early Alert Form (Student)
Students: Please use this form to report issues you may be eperiencing in one or more of your classes.

If you are looking for the form for Faculty, it is available at this link: https://goo.gl/forms/sYYJa1rUaA09Mr2q2
What is your first name? *
What is your last name? *
What is your LCC ID number? *
Please enter your LCC student email address. *
Your email address is in the format "firstname.lastname@student.labette.edu"
Please enter your phone number (with area code)
This is an optional field. If you do not provide your phone number, our first method of contacting you will be through your student email account.
How would you prefer we contact you to assist you?
Clear selection
Are you having issues in one particular class or several of your classes?
Clear selection
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy