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In accordance with the Family Educational Rights and Privacy Act (FERPA), this assessment will be viewed only by your Academic Success Coordinator and Retention Services, and will not be maintained in your permanent student record.
Student Information

Why do you think you have not been successful?

Academic Non-Academic

I understand that I am on academic warning. Being on academic warning affords me the opportunity to work with an academic success coordinator to develop a plan to improve my grade point average. To start on my pathway to success, I need to meet with my academic success coordinator within two weeks of the date on my academic warning letter. Restriction from registering for classes for the next semester will occur if I fail to meet with my academic success coordinator.

My typed name and ID number serves as an authentic signature verifying that the information I provided in this self assessment is accurate.