Academic Advising
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Instructor Notification Form

For Academic Advising

The Academic Advising Office will contact students when there is a concern regarding class performance.  Faculty may use this form as an early alert system to identify students who appear to be having difficulty in a class.

Please complete the following and return to the Advising Office (SC 240 or mail code STCS).

Student’s Name

(Print)

SS# or ID #

Course Abbrev,

# & Section

Concern

(check the most appropriate)

First: ______________

Last: ______________

£       Attendance

 £     Test Grades

 £     Pre-requisite for class not met

£      Overall performance in the class

£ 1st notice – Letter       £ 2nd notice      £ 3rd notice – Appointment w/Advisor

Comments: ______________________________________________________________ ________________________________________________________________________
Comments will be included in the letter sent to students.

Faculty Suggestions: _______________________________________________________ ________________________________________________________________________

Faculty Name: (Print)_____________________________        Date: ______________

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