TechnicalCollegeoftheLowcountry
EarlyAlertReferralForm
TheEarlyAlertReferralFormispartofTCL’sRetentionProgram.Thisformallowsfacultyandstaffto
notifytheEarlyAlertteamofanystudentwhoisnotmakingsatisfactoryprogress.Onceastudentis
identifiedbynotifyingtheRetention
Office,amember oftheEarlyAlertteamwillattempttocontact
andworkwiththestudentinanefforttoimprovethestudent’sacademicperformanceandopportunity
forsuccessatTCL.Simplycompletetheinformation belowandemailtoretention@tcl.edu.(Please
includeStudent’sName,IDandEarlyAlertReferralinSubjectline)
PriorContract
Haveyouattemptedtocontactthestudentregardingthisissuepriortosubmittingthisreferral?
Yes  No
Ifyes,pleaseindicatehow:
facetoface  phone/text email mail other
ContactInformation
Yourname:
Yourposition:
YourPhone:YourEmail:
StudentInformation
NameofStudent:
StudentIDNumber:StudentPhone:
StudentEmail:
Ifthisisrelatedtoaspecificcourse(s)pleasegivethecoursenumber(s)ortitle(s)
AreasofConcern:
Attendance/TardinessLowtest/quizscores
Incomplete/missing/lateassignments Poor/underdevelopedstudyskillsortimemanagement
Personalissuesaffectingstudent Other(Explainbelow)
Pleaseprovideanyadditionalinformation(Includeonlydetailed,factualinformation):