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SUPPORT GROUP ONLINE SIGN-UP

If you are interested in joining a group, please sign up online and someone will contact you about scheduling a time for the meeting that works best for all participants. If you are interested in more than one group, please submit two different forms.

CONTACT INFORMATION
*USCID:
*First Name:
*Last Name:
*Phone:
*Email:
SUPPORT GROUP INFORMATION
*Support Group Selection :

Please indicate the days and times that your are available:

Monday:
Times:
Tuesday:
Times:
Wednesday:
Times:
Thursday:
Times:
Friday:
Times:

*Please describe what makes you interested in joining this support group:

*What benefit do you hope to receive from being part of the group?:

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Center for Academic Support | Student Union 301 | Los Angeles, CA 90089-0896
(213) 740-0776 (Phone) | (213) 740-6948 (TDD only) | (213) 821-5480 (FAX)
Email: study@usc.edu