Academic Coaching Intake Form | Winthrop University

Contact Information

*Full Name

Preferred Name (if different):

*Winthrop ID (or Student ID #):

*Winthrop Email:

Phone Number (optional):

Year in School:

First-Year

Sophomore

Junior

Senior

Graduate Student

Coaching Goals

*1. What motivated you to schedule an academic coaching appointment? (Check all that apply)

If "Other", please tell us:

*2. What do you hope to accomplish through academic coaching?

Additional Information

• Is there anything else you would like your coach to know before your appointment?