WNMU Early Alert Form

The Early Alert Program is designed to enhance student success at Western New Mexico University. In an effort to assist and retain students that are at risk of failing, dropping out of a course or withdrawing from the University we have established an Early Alert program to reach these students and offer the supportive services necessary for them to be successful. This form will be s ent directly to the Academic Support Center and will be used as a tool to engage the student.

Student's First Name: Student's Last Name:

Student ID Number:

Instructor's Name:
Instructor's Email Address:

Course CRN: Course Title:

Please check all areas that apply to the student:

Absences
Tardiness and / or early departures
Struggling with course material
Does not bring textbook or other needed materials to class
Has missed exams / tests/ quizzes
Poor examination results
Poor writing skills
Poor math skills
Poor time management
Missing and/or incomplete assignments
Other non-academic distractions, concerns, etc.

Course Grade:

To date student has earned out of points possible.

Percentage of the course is complete:

Instructor Comments:
Please describe how you have interceded with this student:

Additional comments: