Fillable EAP CW WIP Fall Form

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EAP CW WIP Fall Form

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Cerritos Community College District
11110 Alondra Blvd., Norwalk CA 90650 (562) 860-2451, ext. 2593 Fax (562) 653-7823 www.cerritos.edu
EAP CW WIP (R 7/26/16 BGAMEZ)
Term: Fall _______ Spring _______ Summer _______
Cerritos College
Education That Works!
Work-In-Progress (WIP) Report
Student’s Name: ___________________________ Student ID: ___________________
Fall 2016 WIP Should Be Submitted between:
October 3, 2016 – October 7, 2016
Instructor Information: In order to determine continued Enrollment Priority, it would be appreciated if you could please (1) provide
a tentative letter grade or PASS/No PASS, at this point in time, and (2) sign the Work-In-Progress report. We understand this grade
is subject to change during the course of the semester. If you have any questions or concerns, please feel free to contact Blanca
Gamez via phone (562)860-2451 ext. 2377 or email: bgamez@cerritos.edu
Thank you for your assistance.
Course Name Units Grade Print Instructor's Name Instructor's Signature E-Mail/ Ext
Student Information: Should your WIP Report indicate a “D”, “F” or a “NO PASS” grade it is recommended that you consider (1)
Meeting with your instructor to discuss any academic concerns and/or steps to resolve and improve your grade, (2) Sign up to work
with a tutor, (3) Meet with a Counselor to discuss your options.
If you complete the suggested steps indicated above, during the time allotted, you become eligible to receive a FREE GAS CARD. For
more information, please contact Program Facilitator, Blanca Gamez via email at bgamez@cerritos.edu.
This is to confirm that the above information and signatures are true and accurate to the best of my knowledge. I understand that
eligibility will be determined with this Work-In-Progress (WIP) form and that the CalWORKs office may call/email an instructor to
verify any grade and/or signature.
Student’s Signature: _______________________________ Date: ____/_____/_____
OFFICE USE ONLY
Term: ______________
Satisfactory Received by: _____________________
Unsatisfactory Date: _____/______/_______
Counselor Appt.: __________ Recorded on: P.S WIP Master List SARS Case Management
Other __________________ Gas Card #_______
(First 25 Students)
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EAP CW WIP Fall Form

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Completed 7 May 2020

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