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Academic Standards Review Form
Please have this form completed prior to your appointment.
**Running Start Students on Dismissal must complete all steps PLUS Section 6 on Page Two
Last Name
First Name
M.I.
Student ID Number
1. Type of Review
Probation
Dismissal
Repeated Dismissal
Update Plan
2. Please write a statement to address the overall reason that caused you to experience academic difficulties
(attach an additional page if necessary).
3. Did you seek help from any of the available resources on campus?
Yes
No
3a. If you answered yes, what resources did you access?
3b. If you answered no, why did you choose to not access campus resources?
4. What can you do to improve your academic performance in the future?
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5. What courses would you like to take over the next two quarters at SPSCC?
1
st
Quarter
2
nd
Quarter
Student Signature
Date
Educational Planner/Administrator Signature
Date
6. Running Start Students on Academic Dismissal
High School Counselor Printed Name
High School Counselor Signature
Date
High School Counselor Notes:
Courses Needed for High School Graduation
This Section for Staff Use Only
Plan Made AND Entered into Compass with
Meeting Notes (both Academic Probation and
Dismissal)
“AD” Changed to “FP” in the HP
(Academic Dismissal or Repeat Dismissal)
Flag Cleared in Compass
Copy sent to High School Counselor
(Running Start)
Staff Initials:
Two Quarter Academic Plan and Staff Notes:
1
st
Quarter:
2
nd
Quarter:
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