1. Are you currently registered for fall classes?
	Yes No Need help

	2. Have you received a Financial Aid Award
	Yes No I need help understanding the information in the letter

	3. Do you need Compass scores or any other testing results from NC?
	Yes No Other, please specify

	4. Have you purchased your books for classes?
	Yes No I need help

	5. Do you know who to go to for help when you begin struggling with a class?
	Yes No

	6. Do you have transportation to/from school?
	Yes No I may need some assistance

	7. Do you have basic school supplies
	Yes No I may need assistance

	8. What is the best way to communicate with you?
	Twitter NC Website Email Text

	9. So we can get resources to you, we need the following information:
	Name Cell # and Provider Email Address City State AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NF NH NJ NM NS NT NU NV NY OH OK ON OR PA PE PQ RI SC SD SK TN TX UT VA VT WA WI WV WY YT Zip Email Address