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Retention Referral

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In an effort to help our students and to increase our university retention rates, the Office of Student Life and the Office of Retention have developed this Retention Referral Program.

If you know of a student or students who might be experiencing problems, please take a minute to fill out this form. Doing this will not only help the student(s), but also our retention program. Please fill out one form per student you are referring.

Together we can make a positive difference in the academic pursuits and life skills of our students.

–Jill Rasmussen

 

 

 
With reference to  (student name), I have reason to be concerned about the following:

Class Attendance
Lack of/low class participation
Academic Performance
Financial Concern
Writing/reading Skills
Ennui/lack of commitment to course
Other (specify below):

Your name:

Your E-mail:

Student's Course name/# (if known):

Today's date:


 (mm/dd/yy)

 

 

 
 

 

 
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