Request edit access
HOW MAY WE SERVE YOU?
Welcome to the Alcorn School of Arts & Sciences:

Your request to contact the dean is acknowledged.  To capture, track, and assist with your reasonable request, please complete.  The dean, chair, or an assistant will respond to assist you or route your request appropriately.  

Best.  

Dr. Babu Patlolla  
Dean
Alcorn School of Arts & Sciences
Sign in to Google to save your progress. Learn more
ALCORN SCHOOL OF ARTS & SCIENCES
A#
Please include Alcorn A#
Name (First, M., Last) *
Phone: *
In case we need to reach you for additional service.
Department
What is your department
Clear selection
Office or entity you represent
Ex: Student, Parent, Office of the President, Academic Affairs, School of XYZ, Bursar, etc.
Purpose of your visit *
State purpose of visit (optional)
(Optional) Please be as detailed as possible. For example: "I need help with dropping my last class on my schedule. . . " :
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Alcorn State University.

Does this form look suspicious? Report