Refer a Student

Refer a Student

The Learning Lab is happy to reach out to students referred to us by Stanford faculty and staff, provided the student consents to the referral.

Today's Date*

Faculty/Staff Name (First Last)*

Faculty/Staff Email*

Department*

Student Name (First Last)*

Student Email*

Did the student consent to being referred to the Stanford Learning Lab?*

Yes

No

Reason for Referral*

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