Early Alert Form

Please fill out the form below.

By completely filling out the form below you are providing valuable information that will enable your form to process quickly.

The purpose of the South Plains College Early Alert is to promote student success by identifying students whose behaviors indicate a lack of academic success strategies and academic preparation.

 Faculty members who recognize students that fail to exhibit successful college skills during the first six weeks of the semester should complete the onlline Early Alert form. Students will be contacted regarding their Early Alert, and will receive information regarding campus resources to assist them. The student's advisor and other offices (Housing, STAR Center, Athletics, etc.) will be contacted as appropriate.

 This form is sent to Christina Conner, Retention Specialist, who will then contact the student.

 

The Early Alert is NOT a Drop Notification; please use the

Drop Notification Form to drop a student from your class.

Student's Name:

1.

2.

3.

4.

5.

You may send more than one name; If sending alerts on more than one student,
please include course

name and section # for each student.
Instructor's Name:

Instructor's Email Address:

Optional; for adjunct instructors only
Today's Date:

Course and Section Number:

Disregard if already included with student's name

Please check all concerns that you have about this student that apply.

Please include additional comments in the space provided.

 
Attendance:

Satisfactory
Unsatisfactory
Other: Please Explain

 

Academic Concerns:

(Check all that apply)

Poor Test Scores
Lack of Effort
Sleeping in Class
Late Work
Low Performance
Lack of Participation
Work Incomplete/Inadequate
Other: Please Explain Below:

 

Non-Academic Concerns:
(Check all that apply)

Illness
Personal Problems
Accident
Financial Difficulties
Child Care Problems
Other: Please Explain Below:

 

Student's Current Grade

(If known; Not required for

submission of form)

 

Would you like a copy of

the Early Alert that is sent

to the student, also

sent to you?

 

 

Yes
No

May we contact you

to find out if the student

followed up with you?

 

Yes
No

Please include any

additional comments:



 


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