EmailMeForm
ABAC Early Alert System
An alert will be sent to Academic Support
Student Name
First
Last
Student ID Number
Class
Instructor
First
Last
Site
Tifton
Bainbridge
Blakely
Donalsonville
Moultrie
Instructor's Email
Reason for referral:
I would like to refer the student to the Tutoring Center
The student is missing in-class assignments, online discussions, tests, etc.
The student is not prepared for class (no materials; hasn’t read or completed work before class)
The student has low attendance or punctuality issues
The student has low scores on assignments or tests
Are you concerned about the student’s personal or mental health?
Please select
Yes
No
Please explain:
*
Have you been in contact with the student?
Please select
Yes
No
Please select:
Phone
Email
Face-to-Face
Before or After Class
Other
Current Grade
Please select
A
B
C
D
F
S
U
Number of Absences
Additional Information
