Early Alert Form


This student is being referred to Student Support Services for the following academic and/or life issue(s):

For Students In Online and Hybrid Courses

Did student enter the course in a timely manner?

Does student “go into/visit” the course on a regular basis?

Is student completing and submitting assignments by due dates?

Is student submitting work that is thorough and appears to reflect effort in the development and completion of the work?

Is student completing tests in a manner that is in keeping with guidelines and deadlines?

Actions Taken

Please describe the steps you have taken to assist the student:

Talked about study skills, test prep, etc.

Met with student during office hours

Met with student during office hours

Referred student for tutorial services

Referred student for counseling services