Self-Evaluation Mid-Term Report
Advising Center
7411 85th Avenue North
Brooklyn Park, MN 55445-2299
Tel: 763-424-0703
Fax: 763-424-0704
Advising @
DUE DATE ____________________
Term: ____________________
Student ID #:Name (last, first):__________________________________ _____________________
Course: _Instructor: ________________________________________ ___________________
Please evaluate your performance in this course by addressing the following: attendance, assignment completion and
understanding, effort, attitude, and test results:
Questions for the Instructor
Date:Student Signature: _____________________________________ _________________________
Instructor Section
The student is on Academic and/or Financial Aid Probation. Please assess the student’s current progress in your
class by providing the information below:
I agree with student self-evaluation: YES NO
The student is presently earning a grade of: A B C D F FN NC
Date:_Instructor Signature: ___________________________________ ________________________
Advising Initials/ Date _______________________
North Hennepin Community College is a member of the Minnesota State Colleges and Universities and an equal opportunity employer and
educator. This document is available in alternative formats to individuals with disabilities by calling 763-493-0555 or through the Minnesota
Relay Service at 1-800-627-3529. North Hennepin Community College’s Disability Access Services office can be reached at 763-493-0556.