SPRING 2014 EARLY WARNING SYSTEM B

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EARLY WARNING ONLINE FORM

If you believe a student is in danger of dropping out, please take a few moments to fill out the following four items. You can choose as many options for #3 as you wish.

The Office of Student Success will collect this data and contact the student.

1. Faculty or Staff First Name

Faculty or Staff Last Name

2. Student's First Name

Student's Last Name

Student's Middle Initial (if available)

3. Academic factors causing concern (choose one or more):

Missing classes (3 or more day; 2 or more night)

Not turning in homework/classwork

Failing tests

Behaving inappropriately in class

OTHER

Please contact [email protected] if you have any questions regarding this survey.