Academic Support Programs Services Request
Please use this form to let us know what services you are requesting from our office - this is for one-on-one student consultations or coaching, or faculty/staff meeting with our staff (please see Academic Workshop Form for organizations).

Once this form is sent to our office, we will contact you to set up a time for your meeting. In efforts to keep records correct, please only fill out one form (creating multiple forms will cause a delay in response times). Please know that our office is closed on Saturdays and Sundays and if submitted during that time, we will follow up with you the following week. Responses could take between 24 and 48 hours. We try to accommodate all requests but meeting times depend on the availability of our staff.

If you have any questions or need any additional information, please email us at asp_cssfye@olemiss.edu, call at 662.915.1391, or visit us in Hill Hall.
First & Last Name: *
Your answer
Ole Miss Email: *
Your answer
Phone: *
Your answer
Academic Classification: *
Major/Academic Department, if known: *
Your answer
Reason for Request: *
Required
If other, please specify:
Your answer
Best Available Days of the Week (requests are dependent on staff availability) *
Required
Best Available Time(s) of Day *
Your answer
How did you hear about CSSFYE Academic Support Programs? *
Required
Thank you!
Once this form is received in our office, we will contact you to set up a time for your meeting. In efforts to keep records correct, please only fill out one form (creating multiple forms will cause a delay in response times). If you have specific questions, please see above in how to contact our office.
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