Professor Referral Sheet

Name of Professor: *
Email: *
Phone: *
Student Name: *
Student Email:
Student Phone:
List the difficulty the student is having.: *
Type of help you think the student needs.: *
Classes: *		HistoryScienceEnglishComputer ScienceMathEducationMusicCommunicationsPsych/Soc.Business

Waleska Campus

7300 Reinhardt College Circle

Waleska, GA 30183-2981

Phone (770) 720-5600

Fax (770) 720-5602

4100 Old Milton Parkway

Alpharetta, GA 30005-4442

Phone (770) 720-9191

Fax (770) 475-0263