Academic Coaching Request Form

Academic Coaching Request Form

Academic coaching is a working partnership between a professional coach and Pitzer student that focuses on the process of learning.Students are able to examine their learning styles, habits with school work, current difficulties or barriers to success, as well as things they do well.Academic coaching relates to strategic thinking, problem solving, and learning to work effectively with others.Some examples on how an academic coach can assist students include:

Establishing and maintaining daily schedules and routines
Strategies for organizational management and prioritizing
Support through decision making processes
Exam preparation and test-taking strategies

Name*

First Name

Last Name

Pitzer ID Number*

Anticipated Graduation Year*

Pitzer Email*

Cell Phone*

Date*

Checkbox*

Never received coaching at Pitzer College Returning student

Please describe the nature of academic coaching you need and your goal for this coaching session*

Please provide a range of times for each day below that would best fit your schedule for your Academic Coaching appointment. Days and times listed is when the Academic Coach will be available.

Monday 1PM-5PM

Tuesday 8AM-5PM

Wednesday 8AM-5PM

Thursday 1PM-5PM

Friday 11AM-5PM

**By submitting this form, I agree to notify my Academic Coach at least TWO hours in advance if I cannot attend my session. I recognize that I may be excluded from Academic Coaching if I miss TWO sessions without doing so.**

Signature*

Please type your name to sign form