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Academic Report

Reminder before submitting an early alert. You are strongly encouraged to reach out to students to confirm they are okay, offer campus support services, remind them of the course attendance policy, state expectations for making up missed assignments, etc. If students do not respond or performance does not improve, the Early Alert should then be filed.

Background Information

Your full name:

Your position/title:

Your phone number:

Your email address:

Email address must be of a valid format.

Employee ID Number:

Time of incident:

Course symbol, number, and CRN:

Students Being Referred

Involved party 1

First and Last Name

Student ID

Reason

Issue(s)

Excessive absences

Low test grades

Disruptive behavior

Lack of participation

Unsubmitted assignment

Writing

Habitual tardiness

Inadequate computer skills (online classes)

Resistant to seeking assistance outside of class

Other

You must make at least one selection.

Please provide a detailed description of the issues and identify to which of the above students each of your comments refers.(Required) This field is required.

Please describe any intervention you have already tried with the student(s) and identify to which of the above students each of your comments refers.(Required) This field is required.

Submission

Email me a copy of this report