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University of Portland 5000 N Willamette Blvd. Portland, OR, 97203 www.up.eduReenrollment Questionnaire in Support of Return from Medical Leave STUDENT NAME: ___ DATE: ___ STUDENT D.O.B.: ___ STUDENT

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What is my student is needing?

My student needs guidance and support with their academic studies.

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The student or their parent or guardian may be required to provide certain information or documents for the student's needs.

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To fill out the student's needs, one can follow the instructions provided by the educational institution or counselor.

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The purpose of the student's needs is to ensure they have the necessary resources and support to succeed in their education.

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Information such as academic records, medical history, learning challenges, and personal goals may need to be reported on the student's needs.

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