C-SAS Early Alert

This form is to be utilized by professors, advisors, and/or work supervisors, who are concerned about a student’s academic progress and/or personal well-being. We encourage faculty and staff to refer students EARLY IN THE QUARTER (first 3-4 weeks of the quarter are critical) and as soon as detrimental behaviors are displayed. For example:

  • 1-2 missed classes
  • 1-2 missed assignments
  • 1-2 failed quizzes
  • 1 failed test

This information will be used by the CSAS staff to make contact with the student and devise a plan of action for improved academic progress. Please be advised that referral information will be shared with the student.

C-SAS Early Alert Form










Is this concern related to a specific course?
* 




Please check all statements that relate to the area(s) of concern you have identified.



Lacks fundamental skills in:



The Student:


May be struggling with an addiction:














  • Last update on  February 14, 2013