► StudentsEarly Alert Referral System

Early Alert Referral System

The Early Alert Referral System is designed to provide students the opportunities they need to be successful. If you are aware of a student who is struggling, please complete this referral form. We will then work with the student individually to develop strategies for success.

General Information:

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Areas of Concern

Please select the area(s) of concern and provide details on the selected item(s) in the box below:

Attends class regularly:
Displays inappropriate classroom behavior:
Has low test/quiz scores:
Has incomplete/missing assignments:
Exhibits poor/underdeveloped study skills or time management:
Personal issues are affecting student:
Has caught up on assignments:
Has resumed attending class regularly:
No longer concerned:

7390 South 6th Street
Klamath Falls OR 97603 541.882.3521
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