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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 jbogue@atu.edu if you have any questions regarding this survey.
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