Fillable Aac Referral 2-20-14

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Aac Referral 2-20-14

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Rec’d By______ 2/20/14
Academic Achievement Center (AAC)
Tutoring Referral
Free tutoring services are available to all Columbia students with the completion of a Tutoring
Referral form each semester. Please ask your instructor or counselor to complete this referral and
bring it to the AAC to make a tutoring appointment.
I recommend that the student named below receive tutoring for ________________________
to address the following learning needs: (choose at least one)
(course name)
□ Study Skills □ Learning Strategies □ Reading Strategies
□ Math Proficiency □ Research Skills □ Test Taking Strategies
□ Writing Proficiency (includes AAC Stamp) □ Course Specific Review/Problem-solving
□ Other_________________________________________________________________
Student Name ____________________________________
Referring Faculty (Print & Sign) ____________________________________
Semester Year ____________________________________
Academic Achievement Center 588-5088 Tamarack 2
nd
Floor
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Aac Referral 2-20-14

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Completed 2 March 2020

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