Early Alert Program

The Early Alert System allows members of the campus community a convenient means of referring students for services. The Early Alert System provides faculty with a proactive method of identifying students who may be experiencing academic difficulties. The success of the Early Alert Program is rooted in the implementation of campus-wide collaboration and the commitment of faculty, staff, and administrators to be supportive and involved in facilitating the academic components of student retention.

Faculty referrals are made by completing the Early Alert Form and clicking the "submit" button to have the form electronically sent to the Counseling Department.

Instructor's E-mail: Office Contact Number:
Instructor’s Name: Date:
Student’s Name: Course and CRN #:
Student Email: Last four of Student ID  #:
Please check any statements that, in your judgment, describe this student:
Student lacks essential skills: reading writing math computer skills
Student is not completing reading and/or homework assignments.r
Student continually submits sub-standard work.
Student appears to struggle to keep pace with the class.
Student lacks aptitude in subject matter.
Student does not take class notes.
Student is not attending class.
Student is attending class but is not making satisfactory progress.
Student is not participating in class.
Student is not performing well on tests.
Student exhibits poor attitude and/or disruptive classroom behavior.
Plagiarism
Other. Please explain:
Clarification of items checked above: