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NC Student Success Center

Creating a Student Intake Form: An Inclusive Approach to Student Support

Presenter: Adam Wade, Director of Admissions, Central Carolina CC

In Spring 2019, a team of faculty and staff at Central Carolina Community College (CCCC) began the process of creating a student intake form. Join us as we share about our experience of creating a form focused on learning about individual student needs prior to enrollment including early successes and lessons learned, and the impact an intake form can have on student success.

Participants will be able to review and take away a copy of our student intake form, review our outreach process, examples of outreach, and early impacts. Our goal is to meet every student where they are and ensure that support systems are in place to reinforce success at our institution and beyond. Our student intake form is a vital piece of that support system that we have built to ensure support for every student.

Target Audience:  College Staff; in particular, those who work in Registration, Counseling, and Advising

Please review the available slots below and click on the button to sign up. Thank you!

Date: 06/15/2021 (Tue.)

Time: 1:00pm - 2:15pm EDT

Location: Virtual Workshop

Created by:   Gracie Davis
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Available Slot

Creating a Student Intake Form (75)

39 of 75 slots filled
Vicki Coleman
Kirsten Bunch
Sonya Small
Laura Simmons
Sara Schumacher
Theresa McCall
Kirsten Hobbs
Katrina Arnold
Maggie West
Heidi White
Erin Riney
Johanna Brown
Tori Beauregard
Jackie Ross
Dawn Kantz
Shannon Annas
Kerry Cantwell
Jon Gibbs
Claudia Vestal
Alexandra Ranieri
Christopher Swinton
Becky Kennedy
Dorene MacKinnon
Marsi Franceschini
Rebecca Donaldson
Terra Jones
Vanessa Tripp
Lori Giles
Lynn Bowen
Annette Joy
Amanda Avery
Brigette Myers
Jamie Cohick
Susan Moore
Phyllis Locklear
Erica Caracoglia
Stella Perrin
Brandi Ziegler
Shakera Davis
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