Early Alert Form Instructions

Please Read Prior to Completing Form


NOTE:  The Early Alert Form can ONLY be submitted to Student Support Services (SSS) AFTER the instructor has established contact with the student via phone, email, text, and/or in a face-to-face setting.

Instructors typically have more contact with students than anyone else on campus and are in the best position to notice when students are having a difficult time.  Here are some tips for identifying students in crisis and responding effectively.

STEP 1: Identifying Students in Need

Here are a few examples of behaviors which can indicate a student is in need of some extra support:

  • Sudden downturn in academic performance
  • Poor attendance
  • Visible signs of stress (tearful, unusually irritable, intensely anxious, etc.)
  • Patterns of disturbing content in written or oral assignments*
  • Stressful life events (death of loved one, divorce, ended friendships, illness, job loss, etc.)
  • Significant  changes in personality*
  • Significant weight gain or loss in brief amount of time
  • Appearing confused, disoriented*
  • Significant changes in personality*

*Threatening or violent behaviors warrant contacting Campus Security immediately.


  • Did not enter the course in a timely manner
  • Submitted work is not thoroughly done
  • Does not submit assignments by due date
  • Is currently not keeping pace with requirements outlined in the syllabus
  • Is not completing tests by deadline

STEP 2: Expressing Concern to Students (prior to submission of the form to SSS)

Oftentimes instructors feel awkward in broaching their concerns with a student; it can be helpful to remember that most people are grateful to hear that someone has taken an interest in them. When initiating this conversation, some helpful phrases are:

“I’ve noticed your grades have been dropping.”

“You’ve been falling asleep in class . . .’’

“I’ve noticed some things lately that concern me.”

“Your absences have caught my attention.”

“I want to see you succeed, but it seems like you have been struggling lately.”

“I see a lot of potential in you.”

“When I’m in a difficult spot, I find it helpful to talk with someone.”

STEP 3: Complete the Early Alert Form

1st Click here to access the Early Alert Form or go to the College web site, open the “Faculty and Staff” link, and click on the “Documentation” link.

2nd – Fill out the Student Information/Contact Section

3rd – Complete the “Concerns” Section of the Early Alert Form

4th – Finalize your referral and e-mail to the address below.


Contact/Submission Information

If you have further questions, please contact:

             Kimberly Philpott

Student Support Services
114 Student Services Center

(252) 862-1293

Teresa Drew

Student Support Services
113 Student Services Center
(252) 862-1303