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Early Alert Program

The Early Alert Program is an early intervention program in which you may refer students to us who may be missing too many classes, making poor grades on tests, or demonstrate other forms of inadequate class participation. We’ll contact the students and set up appointments with academic advisors, and/or tutors.
     
Faculty, please note that unless given your authorization, we will not disclose any information to the student regarding your role in this intervention.  
Please check this box if you do want the student to know who sent this referral.
Student Information  
Student Name:  Student ID: 
Student Email: (optional)  Semester: 
Faculty Information  
Faculty Name:  Faculty Email: 
Is this concern related to a specific course: 
If yes, please identify the course name: 
Reason for Intervention  
Excessive Absences 
Low Test/Quiz Scores 
Missing Assignments 
Personal Issues Affecting Performance 
Poor Participation 
Inadequate Preparation 
Disruptive Classroom Behavior 
Lacks Necessary Skill Sets for Course: 
 Math Skills  Writing Skills  Reading Skills  Studying Skills  Other
Additional Comments 
Please list any concerns or information that will help us work with this student:     
Check this box if you would like to be contacted regarding any contact or interaction that we have with this student regarding this concern.