DIXIE STATE COLLEGE
   Academic Early Alert Notice
 

Date:   

Student's Name:     ID Number (if you have it): 

Course Title:     Course ID: 

Instructor Name:    Instructor Email: 

Please check any of the following which may apply:

FACTOR COMMENT
Poor Attendance in class
Poor Test Performance
Lack of Participation in class
Late/Missing Assignments
Poor Quality of Written Work
Reading comprehension lacking
Poor quantitative skills
Poor attitude or disruptive behavior
Other

Please click the submit button when complete:   

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