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.
Standards of Satisfactory
Semester / Probation:
Semester / Re-enrollment:
Academic Progress
Total GPA Credits GPA
1 – 16 1.50
Total GPA Credits: Cumulative GPA:
17 – 32 1.60
33 – 43 1.75
ADVISOR RECOMMENDATIONS:
44
–
54
1.90
Tutoring—www.cscc.edu/tutoring
Study 2–3 hours per credit hour per week
Disability Services—EB 101
Personal Counseling—NH 010
Administrative Withdrawal
Academic Advisor/Faculty Advisor:
Review financial aid status with a financial aid advisor/VA coordinator
Reading/Writing Lab—AQ 214
Student Signature Date Advisor Signature Date
PROB1 03/12 OFFICE COPY—WHITE / STUDENT COPY—YELLOW