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This form is designed to alert the Office of Academic Advising of any students of concern. Please fill out the following information for any student of concern. This student will receive outreach from an Academic Counselor.
STUDENT ID (optional)
Check one or more of the following reasons for referring this student:
Student has excessive absences and/or tardiness
Student has low test and/or quiz scores
Student has never attended class
Student attends class, but is not registered
Comments of concern from other students
Knowledge of personal or family difficulties ( i.e. financial, health, etc)
Drastic changes in appearance
Other, please specify:
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