Contents of this form should be handled confidentially.
I am concerned about:
Student ID#, if known:
First Year Sophomore
Current estimated grade/ general grade level of work thus far:
I have discussed the problem with the student:
The student knows that I am sending this CRS form:
I have recommended a student tutor through the Academic Support Center:
I recommend this student be seen by the appropriate dean
FYI only: please take no action at this time. I am working with student.
Comments (Note: CRS form is available for student's review upon request)
*This form will be received by the student's class dean, academic advisor, academic support center/student accessibility services and SSS advisor as relevant. The class dean coordinates reaching out to the student.