ADVISOR NOTES and COURSE RECOMMENDATIONS:
In signing below, I understand that I have 24 ATTEMPTED CREDIT HOURS (includes W’s and repeated courses) to raise
my GPA to meet the Standards of Satisfactory Academic Progress in order to avoid Academic Dismissal.
COLUMBUS STATE COMMUNITY COLLEGE
ACADEMIC PROBATION FORM
PLEASE PRINT LEGIBLY AND COMPLETE THE GRAY SECTION PRIOR TO MEETING WITH YOUR ADVISOR
CougarID:
Name: (Last) (First)
Telephone Number(s): (Home) (Cell) (Work)
Hours per week you study? work? commit to other activities?
What caused your academic difficulty? (e.g., medical/personal problems, not ready for college, employment, time
management, death/illness, finances, study/testing skills, career indecision, lack of support, etc.)
1.
2.
3.
List three ways you plan to improve your academic performance. Be specific with your plan.
1.
2.
3.
ADVISOR TO COMPLETE
Standards of Satisfactory
Semester / Probation:
Semester / Re-enrollment:
Academic Progress
Total GPA Credits GPA
1 – 16 1.50
Total GPA Credits: Cumulative GPA:
1732 1.60
3343 1.75
ADVISOR RECOMMENDATIONS:
44
54
1.90
55+ 2.00
Blueprint Workshop(s):
Tutoringwww.cscc.edu/tutoring
Study 23 hours per credit hour per week
Disability ServicesEB 101
Maximum of credit hours
Math AnxietyAQ 116
Attend all classes
Career CounselingNH 108
Reduce work hours
Personal CounselingNH 010
Administrative Withdrawal
Academic Advisor/Faculty Advisor:
Fresh Start Rule
Meet with instructor(s):
Math LabAQ 213 / DH 313
Review financial aid status with a financial aid advisor/VA coordinator
Speech LabNH 017
Other:
Reading/Writing LabAQ 214
Writing CenterLibrary
Other:
Student Signature Date Advisor Signature Date
PROB1 03/12 OFFICE COPYWHITE / STUDENT COPYYELLOW
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