1. Coaching Form

Thank you for your interest in Student Success Coaching! Please fill out the following information and your new coach will contact you soon:

* 1. Please fill out the following questions about yourself:

* 2. Please check all the hours you are available to meet with a coach:

  Monday Tuesday Wednesday Thursday Friday
9:00
10:00
11:00
12:00
2:00
3:00
4:00
5:00
6:00

* 3. When and where did you complete your last school experience?

* 4. Do you know what you want to major in at Edison College? If yes, please specify which major.

* 5. Are you working in a job while attending classes at Edison? If yes, how many hours do you work?

* 6. What are your three main concerns that could prevent you from succeeding in school?

* 7. In what areas can we help you succeed with your college goals?

Thank you for your interest! Please press "done" to complete the survey and your coach will contact you soon!

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