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Request for PERC Services Form

This form is intended to be used by PBSC students  who are in need of PERC services and support. PBSC Cares!


Student Information:
Is this student a first-time college student?
Please select the student's home campus:
Does the student have a current FAFSA on file?
How many credit hours is the student currently enrolled in?
Are you interested in the Supplemental Needs Assistance Program (SNAP)?
Requested resource/assistance - check all that apply:
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