BASICS/CASICS Request Form
Please fill out the following form in order for us to match you with an instructor. Once this has been complete, an instructor will reach out to you and schedule your two part session.
Were you assigned this course or referred?
Assigned - I was told I need to take this
Referred - taking this class is my choice
Which course do you need to take?
Does your assignment letter say that this session needs to be conducted by a counselor?
Please list all days and times that you would be available to meet with an instructor (Monday-Friday only)
Never submit passwords through Google Forms.
This form was created inside of University of Kentucky.
Terms of Service