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Northwest Missouri State University


Residents: Please fill out this form if you need any assistance with any academic situations. All fields must be filled out.

Residential Life Staff: Please fill out this form if you have any academic comments or concerns as relates to residents.

*First Name:
*Last Name:
*Student 919#:
*Residence Hall:

*Room Number:
Phone Number:
NW Email Address: (must be your s-number address)
Confirm Email Address: LEAVE BLANK!

Academic Summary

  • Residents: In this box, please describe the academic need such as problems with tests, studying, note taking, classes, etc. If you are having problems with a specific class, please describe the class and what topic you are having trouble with.
  • Student Staff: Include information about the concerns such as resident's name and need or comment in the Academic Summary field. Your information must be in the other fields.

Which of the following ways would you like the ARCH to use when responding to your request?

I do not want ARCH to respond

What times are you available so the ARCH may respond?