Learning Coach Request
Learning Coaches are assigned to current HCC students only. Please note that Learning Coaches are not available in the Summer or Winter sessions. By submitting this form you agree to the Attendance Policy below.
Sign in to Google to save your progress. Learn more
Full Name *
Student ID number *
HCC Email *
Phone Number *
How did you find out about the learning coach program? *
If you are working with OSDDS, New Directions, STRIVE, Pathways, or any other on-campus support program, please provide the name of your advisor, learning specialist, or contact person.
Please indicate which of the following you need the most help with: *
How do you prefer to meet with a Learning Coach? *
When are you available to meet?
8 a.m.
9 a.m.
10 a.m.
11 a.m.
12 noon
1 p.m.
2 p.m.
3 p.m.
4 p.m.
5 p.m.
6 pm
7 pm
Attendance Policy:
Failure to appear for scheduled appointments will result in your being removed from the learning coach's schedule. If you do not notify us PRIOR to missing a learning coach appointment, it will be considered an unexcused absence and may result in your not receiving a learning coach that semester.

It is acceptable to notify your learning coach or a CAPS staff member IN ADVANCE if you have an emergency and cannot make your appointment.

By submitting this form you agree to the Attendance Policy.
Clear form
Never submit passwords through Google Forms.
This form was created inside of Holyoke Community College. Report Abuse