USC Lancaster Early Alert Form
Campus
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Lancaster
Term
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Fall (Main)
Fall I
Fall II
Spring (Main)
Spring I
Spring II
Summer (Main)
Summer I
Summer II
Year
Student First Name
Student Last Name
Student USC ID (Alphanumeric ie: A12345678)
Faculty First Name
Faculty Last Name
Faculty Email
Reason for Early Alert
Course Name (i.e. POLI 201)
Course CRN
Attempt(s) to Contact Student
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Direct Contact (Face to Face)
Phone Call
Voice Mail
Text Message
Email
Referral Reason(s)
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Poor Attendance
Poor Attitude/Behavior
Limited Participation
Frequently Late
Not Prepared
Not Completing Work
High Level Stress/Anxiety
Current Total Grade
Low Quiz/Test Grade
Recommendation(s)
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Tutoring
Study Skills Assistance
Referral to Disability Services
Career Counseling
Contact Professor
Contact Academic Advisor
Counseling Services Referral
Withdraw from Course
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Contact Information