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SCOT Request Form

  1. (required)
  2. (valid email required)
  3. If the student can call you at home if necessary to arrange an appointment, confirm dates, times, etc. please provide a home phone number below.
  4. I would like a student consultant for the following class:

  5. Please indicate all options for SCOT service that you are interested in (See Options for Faculty: Ways to Use SCOT ):
 

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