Elizabeth City State University

ECSU Classroom

ECSU Home

Back

Academic Alert Form

If a student is doing unsatisfactory work in your course or behaves in ways that cause you concern, please check the appropriate boxes below. Indicate whether or not you wish action to be taken or if you intend for the information to be advisory only.

Student Name

Course Name & Course No.

Academic Concerns

Excessive Absences

Lack of Engagement

Poor Examination Skills

Struggling with Material

Missing Exam(s)

Poor Language Skills

Poor Preparation

Missing Homework

Time Management

Other

Non-Academic Concerns
Please Specify :

Please specify:

Actions

Have you attempted to contact the student
regarding your concerns?

Can the student still complete the course successfully?

Yes No

Yes No

If so, please describe what you conveyed:

If so, how?

Do you recommend action be taken?

Faculty Information

Yes No

Name:

If yes, do you have suggestions?

E-mail:

Phone No:

(Example: 9999)