Early Alert Referral

Fields marked with an * are required

Thank you for your concern and willingness to refer a student to the Cougar Success team.   Please fill out and submit this form so that we can assist the student in working through any issues that may impede his or her success.

The information that you provide on this form is vital and will aid us in helping the student as quickly as possible.   This form will be sent to the most appropriate person for intervention.

Please note that the information you provide is not confidential and will be used in our outreach effort to assist the student.

Please fill out the following information and click SUBMIT. All fields are required.

Please identify the problem or concern

 

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Ctrl + Click for multiple items (Cmd + Click for Mac)

Do you recommend tutorial assistance for this student?

Please select the most appropriate area to send this form to. If you are not sure, select the General Referral category. Referrals are reviewed by the Cougar Success Team for appropriate follow up and intervention.

Cougar Success Team 
Lesley Villarose, Dean of Students
Carl Bradsher, Dean - Financial Assistance
Mary Vanderlinden, Assistant Dean - Student Success
Rebecca Raab, Director - Writing Support
Holly Kilby, Director - Academic Support
Joan Kahwajy-Anderson, Counselor
Marsha Foster, Director - Residence Life