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Conveying a Concern Form

Purpose

The purpose of the Conveying a Concern form is for faculty to identify students who may need assistance and/or intervention to successfully complete requirements for their program of study. This form can also be used for faculty to identify students who may need assistance in areas that are not specific to academics. Faculty are expected to address the concern with the student at least one time before issuing a Conveying a Concern form.

Process Steps

  • A. Faculty completes a Conveying a Concern form and submits it to the office of the Registrar.
  • B. The Registrar identifies the student’s advisor, informs the advisor, and obtains the advisor’s signature and action plan on the form before filing.
  • C. The advisor schedules a meeting with the student of concern and executes an action plan
  • D. The Conveying a Concern form is filed in the student’s permanent record (documents available in the advisor database) by the Registrar and notes of the conversation(s) had with the student are noted in the advisor database by the advisor.
Section A (To be completed by the faculty member)
Sign the faculty statement below
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Paragould, Arkansas 72450 USA
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