ASAP Student Intake Form
PLEASE READ BEFORE BEGINNING!

PLEASE USE YOUR WSU E-MAIL ADDRESS for this and all other forms for the ASAP program. This ensures compliance with FERPA. We will not send communications to a private e-mail address.

The ASAP program respects your privacy. This form is used to guide your Initial Assessment meeting. We also use this form to collect statistical data on the students who are referred to our program.

PLEASE ANSWER HONESTLY! Particularly on the section that asks about your personal usage.  We will not judge you for your responses. You will not get in further trouble as the result of your answers on this form.  Do not provide the answers that you think we want to hear.

This form is for students referred from May, 2023 to April, 2024. If you are receiving this form at another time, or were referred outside of those dates, please contact studentwellness@weber.edu. 
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