1. Advisor Signature: ___________________________________________________________________________________________
Attention Advisor: Please make a copy for DMS scanning. updated: 5.8.14
Topics that I wish to discuss with the Advisor:
Please check all that apply
___1. Past academic experiences. What are my strengths as a
student? Do I have a support Netw orkavailable? How have you
overcome a barrier in an education setting in the past? Describe a
successfuleducationalexperience you have had in the past? What
did you do to ensure success?
__ 2. Life Priorities. Where does college fit on your priority list?
What priorities can be moved/changed in order to make college a
higher priority? Is attending schoolas a part time student a better
option? Why or w hy not??
__ 3. Study Skills/ Time Management. Have I used a planner or time
management grid? Why or w hy not? Do I have enough time to be a
successfulstudent? Have I made the correct course selections?
What about the course content is giving you trouble? What is your
learning style? Are you taking courses in the most effective format?
__ 4. Goals/Challenges. Are there any foreseeable challenges
coming in your future? What are your future academic goals? Future
career goals? Have you discussed your academic difficulty with your
instructors? Do you plan to in the future?
__ 5. Misc. Are you aw are of when registration begins? Are you
registering late? Are you aw are that poor academic performance can
cause you to be dismissed fromCSCC and/or lose your FA
eligibility?
Academic Intervention LEVEL: PROBATION
Please complete prior to meeting with the Academic Advisor. You will receive recommendations once you have spoken
with an Academic Advisor.
Student Report Card - Please rate yourself using the following:
“A” – Always; “B” – Almost Always; “C” - Sometimes; “D” – Rarely ; “E” Never
I _________went toclass prepared. I ______ askedquestions when I did not understand the
material.
I ________ followedthe syllabus. I ___notified my instructor when I was going to miss
class or be late.
I _______ know where to go for help. I _____ use coping techniques such as exercise or
meditation
I ______ completedmy homework / studied for tests
effectively.
I was _______ able to cope with the stress of
college/life.
I___ registeredfor classes on time in order to take
classes at the most opportune time and location.
I ____ file my financial aid and submitted request
documents (if applicable) before CSCC deadlines.
STUDENT SIGNATURE:_________________________________________________________________________________________________________
Cougar ID: Today’s Date:
Name:
Student email @student.cscc.edu
CurrentTelephone number:
CSCC Academic Advising
What is your motivation for being in college?
What has surprised you about college?
What was is in your control that you could have done
differently?
What are your long term goals (Academic & Career)?