Select all the text in the box below and copy it into your favorite email client`s
Sending a text message
The following message will be sent to the cell phone number on file for the student. A confirmation email with delivery status for each student will be sent to your inbox.
(160 characters max.)
Keep a copy of this message in Advising Notes for each student.
AST Referral Form
1. What is the best way to contact you?
2. Academic Performance concerns that you have about this student. (Check all that apply)
Academic difficulty due to gaps in foundational skills
Difficulty adjusting to college life
Experiencing test anxiety
Falling asleep in class
Marked decline in performance
Poor class attendance
Time management and procrastination issues
3. Other (Please provide additional information)
4. Have you addressed these concerns with the student?
5. Is the student aware of this referral?
This student is in the Adult Completion Program (ADC)
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