Early Alerts, 2016-2017
Your Name *
Your answer
Course *
Please include course number
Your answer
Student's Name *
Please include both first and last names
Your answer
Student's Estimated Grade
F
A
Areas of Concern
Please indicate all that apply
0, Never
1-2 times
3-5 times
Frequently
Always
Arrives late and/or leaves early
Attends class but not prepared (ex: no book, no pen, readings not done, etc.)
Has not submitted work
Misses class
Distracted in class (uses phone excessively, leaves class, sleeps in class, etc.)
Performed poorly on test(s)
Other Concerns
If you have concerns about a student who may be doing well academically but is having other difficulties, please describe those concerns here. If there are other concerns you have that are not listed above, please note them in this space.
Your answer
Transfer/Withdrawal Plans
Has the student informed you that he/she is considering transferring or withdrawing?
Yes
The student is considering it, but still unsure.
No, the student is planning on staying at Wagner.
I don't know/NA
Withdrawing
Transferring
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