LCC Faculty Early Alert Form
Faculty: Please use this form to report issues or concerns you may have with a student in your class.
If you are a student looking to report issues you may be having in your own class or classes, please use the form at this link: https://docs.google.com/forms/d/e/1FAIpQLSe1i5bm-KRPSFaBfKaMjxHNVPqywI7A7y_vCNVjbGQggA4QtQ/viewform
Instructor Name
Your answer
Instructor Email Address
Please use your Labette.edu email address for communication regarding this issue.
Your answer
Student Information
Please provide us with as much information as you can. Your initial report will only be shared with the members of the Early Alert team.
Student Last Name
Your answer
Student First Name
Your answer
LCC Student ID number
Your answer
Course Title
Your answer
Course Time & Day
"Online" is an acceptable answer for this question.
Your answer
Current Course Grade
Your answer
Reason for alert
Please choose all that apply. You may also choose "Other" and provide more information
Required
Have you spoken or communicated directly with the student regarding your concerns?
If you have communicated with the student regarding your concerns, please give us more information about that communication.
Your answer
Have you notified the student's academic advisor(s) or athletic coach about your concerns?
Please list the names of those staff member with whom you've shared your concerns regarding this student.
Your answer
Please tell us any other information you'd like for us to know about this student or the situation.
Your answer
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