2nd ACADEMIC WARNING WORKSHEET
Student Information
______________________________________________________________________________________________ ID#: _________________________________________________
Student Name:
____________________________________________________________ Term: __________________________________ Date: _______________________________________________
Advisor:
___________________________________________________ Major/Program: _________________________________________________________________Degree/Certificate:
Identify Challenges and Concerns
I am having difficulty with: (check all that apply)
Develop a Plan for Success
My plan for improvement in the next term is:
Connect with Resources
In my plan for improving my academic standing, I will seek assistance in the following areas:
£ Lack of motivation/focus
£ Adjusting to college
£ Depression, stress or anxiety
£ Finances
£ Making friends/loneliness
£ Meeting basic needs (i.e. access
to food, community resources, etc.)
£ Housing/living arrangements
£ Family responsibilities
£ Work responsibilities
£ Physical health concerns
£ Time management
£ Outside distractions (i.e. gaming, social
media, extra-curricular activities, etc.)
£ Ineffective study skills
£ Unclear academic/career goals
£ Learning disability
£ Challenging classes/credit load
£ Other: _________________________________________
£ Other: _________________________________________
£ Career Exploration & Support Resources
Career Services | CAP Services | 541.383.7200
Other:
__________________________________________________________________________________
£ Academic Advising
Academic Advising | CAP Services | 541.383.7200
Other:
__________________________________________________________________________________
£ Personal Counseling
Personal Counseling | CAP Services | 541.383.7200
Other:
__________________________________________________________________________________
£ Tutoring
Tutoring & Testing | Barber Library | 541.383.7534
Other:
__________________________________________________________________________________
£ Disability Support
Disability Services | Barber Library | 541.383.7583
Other:
__________________________________________________________________________________
£ Financial Support & Resources
Financial Aid | Boyle Education Center | 541.383.7260
Other:
__________________________________________________________________________________
£ Community/Peer Involvement
Student Life | Coats Campus Center | 541.383.7590
Other:
__________________________________________________________________________________
£ Skill Courses
£ HD 100CS: College Success (3 cr.)
£ HD 100PM: Procrastination & Motivation (1 cr.)
£ HD 100VC: Values Clarification (1 cr.)
£ HD 100TT: Test Taking (1 cr.)
£ HD 101: Study Strategies (3 cr.)
£ HD 110: Career Planning (3 cr.)
£ Other: ________________________________________________________________________
Central Oregon Community College nd Academic Warning Worksheet 4/18