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Early Alert Form


Please fill out this form if you have an academic related issue.

To report matters related to behavioral and/or health and safety concerns, please use the CARE Team Report Form.

Reporter Information

Please provide your contact information so we may follow up with you if needed.

 
Email address must be of a valid format.
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Ex. Online, Building
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Please select the course prefix.

Individual Student Information

Please provide the name and E number (found on class roster) for the student.



You must enter "E" before the student ID number.

Involved party 1

Detailed Narrative

Please check all that apply.(Required)
You must make at least one selection.
This field is required.
Have you communicated with the student regarding their absence and/or performance?(Required)
You must make at least one selection.
This field is required.

Submission