Early Alert System

To better serve our student population and to provide support to the faculty regarding concerns they have expressed, we have established an Early Alert system. This form can be used to meet reporting needs of various departments and to give the instructor a mechanism to report student concerns to the appropriate department.

Please complete the following form and select Submit.

Student's Last Name:

Student's First Name:

Student's ID Number:

Instructor's Name:

Course Name and Number:

This is a distance learning class.

Please check all that apply to the student.

Poor attendence (for distance learning classes, this may mean the student has not logged in to Blackboard)
Comments

Poor test performance
Comments

Excessive tardiness
Comments

Lack of class participation (For distance learning classes, this may mean the student does not respond to email, does not participate in discussion boards, etc.)
Comments

Incomplete assignments
Comments

Written work is below standards (not on time or incorrectly prepared)
Comments

Poor quality of oral work
Comments

Other (non-academic distractions, technical difficulties, etc.) Please describe.
Comments

The student is passing my class at this time.

I have discussed my concerns with the student.

I recommend this student for tutorial assistance.
Area(s)