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The Success Connection Visitation e-Form

Instructions 

The following form has been provided for your convenience to track visitations with the students you mentor/tutor. Each time student visits with you please fill out this form and submit it. You may print a copy for  your records.

This initiative is being done to continue to support our freshman population and to ensure that they are taking the necessary steps to help them succeed. If you have any questions comments or concerns regarding the form please feel free to contact our office. Our information is provided below.

Procedures for use of form

1. Meet with the student.
2. After your session with the student, fill out the form summarizing the conference.
3. Submit the form electronically to the office of Academic Success and Student Retention (ASSR).

Office of Academic Success and Student Retention
820 Chestnut Street - 304 Young Hall 
Jefferson City, MO 65102
Phone: (573) 681-5128
Fax: (573) 681-5175