Success Team Faculty/Staff Referral Form

The Success Team Referral form can be used by any faculty or staff at WCC to refer students to their Success Team. Success Teams include academic advisors, coaches, enrollment services staff, and faculty.  

This form should be used primarily for students who need additional support with navigating campus resources, developing academic skills, career and academic exploration, etc. 

If you have an immediate concern about a student’s health, safety, or other concerning behaviors, please use the Care Team Contact Form.
Faculty/Staff Information




Student Information



Course Information (if applicable)



Reason for Referral