Schedule an Appointment

(Please note your form session will expire after 15 minutes.)

Please fill out this form if you would like to make an appointment with the Center for Student Success.

First Name:

Last Name:

Class Year:

Full Gettysburg Email:

Reason for appointment. Answers are confidential. Please provide as much detail as possible.

Would you like to meet to discuss disability services?

Yes

Who is your faculty advisor?

Have you spoken with your faculty advisor about this matter?

Yes

If no, why not?

Have you seen anyone in our office about this matter before?

Yes

If you have seen someone before, who have you seen?

Dean Keira Kant

Assistant Dean Renica Minott

Associate Dean Hannah Sollenberger

Please list the days and times that you are available. (i.e. MWF 2-4, TTh 1-2)