Student Success Exercises – Required for Academic Probation Students

 

Student Name____________________________    Student ID #_____________________

 

Last semester, I completed ______ hours with a _______ G.P.A., giving me an overall G.P.A. of ______.  

                                   

Section I - These factors/behaviors contributed to my probationary status:

Evaluate what happened last semester that prevented you from performing to your full academic potential. For example, you may indicate that your work schedule prevented you from focusing completely on your academics.

I did not achieve a minimum 2.0 for the following reasons:

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Section II - I will address the factors indicated in Section I by:

 

List specific behaviors or actions that will help resolve the above factors/behaviors. Using the example in Section I, you may indicate that you plan to decrease your work hours from 40 hours/week to 15 hours/week.

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Section III - My goals for the Fall 2006 semester are:

 

In this section, list at least 3 goals that will help you return to good academic standing. For example, you may indicate that you plan to study more this semester.

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Section IV - To meet my goals in Section III, I plan to do the following:

 

In this section, review the goals outlined in Section III and address specific things you will do to achieve each goal. For example, if you indicated you plan to study more this semester, your action to meet that goal would be to study 30 hours per week and 4.5 hours/day. Note that these must be executable goals.

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Concerns on a scale of 1-10   Example:                1 Not at all                   5 Moderate                  10 Very Much

 

 

Time Management ____                                          Procrastination ____

Goal Setting ____                                                     Money Management ____

Concentration ____                                                  Stress Management ___

Test Taking ____                                                      Motivation  ___

Writing______

 

  1. Do you need financial assistance? _____
  2. Are you feeling lonely or isolated? ______
  3. Use of alcohol? _______
  4. Suicidal concerns? ______
  5. Depression? _______
  6. Use of drugs? _______
  7. Overwhelmed? _______
  8. Difficulties with math? _______
  9. Other subject difficulties? ______What subject(s)?________________________
  10. Other Concerns__________________________________________________________________________________________________________

 

Are you interested in tutoring assistance? _____  What subject(s)? ___________________________________________________________________

 

What can we do to help you be successful?

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