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UC Success Program Sign-Up
UC Success Sign-up

Your Name *

First

Last
Your Email *
Your Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Your Phone Number *

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UC Success Semester *
Choose the term that you want to start the UC Success Progrma
Your HOME School *
Choose the school that you have applied to/been accepted to and/or are enrolled with.
Your Major *
Please indicate your major/intended degree (Psychology, Sociology, General Studies, etc.)
Required Enrollment? *
How would you like us to contact you? *
Do you plan on working while attending school? *
Tell us about yourself
We'd like to learn more about you! Do you have children? Are you married? Is there anything in your life that makes obtaining your academic goals more challenging?
I plan on taking the following credits in the coming semester: *
 0-3 credits 
 6-9 credits 
 12-15 credits 
 15+ credits 
What lead to my probationary status? *
 Time Management Issues 
 Study Skill Issues 
 Personal Issues (discuss in person) 
 Class Attendance 
 Lack of Academic Goal 
 Other 
What are your goals this semester? *
 Improve Grades 
 improve Time Management 
 Improve Study Skills 
 Improve Class Attendance 
 Maintain Financial Eligibility 
 Define Academic Goals 
 Other 
Any preceived obstacles for this semester? *
 Personal Issues 
 Financial Issues 
 Motivation 
 Time Management 
 Family Issues 
 Other 
What University Center services do you expect to utilize the most? *
 Tutoring 
 Workshops 
 UC Website (Resources) 
 Academic Advisor 
 Financial Aid Advisor 
 Other 

Submittal of this Form

Once you click on the submit button below, we will be contacting you within the next week to set up regular times throughout the semester to discuss how your semester is going and help you achieve your academic goals!

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