CDS Student Referral Form
Dear Faculty & Staff: Thank you for your student referral. If you provided us with the student's email address, we will reach out to the student with information about our services and instructions for scheduling an appointment. Otherwise, we will be on the lookout for the student to come visit us. Thanks for your support!
Student's Name
First Name
Last Name
Student's Home Campus
Leesburg
South Lake
Sumter
Distance Learning
Student Status
Current Student
Prospective Student
Returning Student
Student's E-mail (if this is provided we will reach out to the student)
Reason for Referral (check all that apply)
Career Exploration
Major Selection
University Transfer Research
Professional/Graduate School Preparation
Job Search Strategies
Resume or Cover Letter Critique
Experiential Education/ Co-op or Internship Search
E-Portfolio Assistance
Other
Referred by:
First Name
Last Name
Staff/Faculty's Email:
Referring Department
Academic Advising
Academic Department/Faculty
Admissions Office
Continuing Education
Dual Enrollment
Learning Center
Library
Office for Students with Disabilities
Workforce Education
Youth Outreach
Other
Students: To schedule an appointment, please call Career Development Services at 352-323-3603, submit an online appointment request at www.lssc.edu/academics/cds or visit our main office at the Leesburg Campus, Student Services Bldg., Rm. 144. We look forward to meeting you!
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