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Early Warning Deficiency Reporting Form

Term: Fall 2022

Faculty: __________________________________
Course: ______________________________________
Number of enrolled students: _____

Name Campus Reasons What have you done?


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Reasons:

1 = Attendance
2 = Missed class work/homework
3 = Low test and attendance
4 = Combination of attendance and class work
5 = Missed class work and attendance and low test score
6 = Low test scores
7 = Combination of attendance, low test score, and missed work
8 = Other

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