Office of Advising and Retention

Early Alert Referral System for Faculty and Advisors

The Early Alert Referral Form is part of LSSU's comprehensive Early Alert System, designed to identify students who may be at risk of academic difficulty or failure. This form allows faculty (full- and part-time) and advisors to alert the Office of Advising and Retention of any student who is not making satisfactory progress and/or is exhibiting behaviors that may lead to academic difficulty (i.e. non-attendance). Once a student is identified via the form below, the Office of Advising and Retention and/or appropriate support service personnel will attempt to contact and work with the student in an effort to improve the student’s academic performance and opportunity for success at LSSU. Simply complete the information below and submit online.

General Information:

• Faculty/Staff Name:                 
• Faculty/Staff Email
• Student's Name
• Student's Campus ID Number:
• Student's Phone Number (if known):
• *Is this concern related to a specific course? Yes No
    If yes, enter course number:
• *Have you discussed the situation with the student? Yes No
    If not, have you tried to contact the student to discuss the situation? Yes No

Areas of Concern

Please select he area(s) of concern and provide details on the selected item(s) in the box below:

• Class attendance
• Classroom behavior
• Low test/quiz scores
• Incomplete/missing assignments
• Poor/underdeveloped study skills or time management
• Personal issues affecting student
• Other

Please provide more detail on the selected item(s) in the space provided (up to 500 characters):