Florida Atlantic University
Freshman Academic Advising Services
Faculty Online Student Referral Form

Welcome to the Online Faculty Referral System

In keeping with the University's mission to improve and increase student retention, the Office of Freshman Academic Advising Services has developed this form so faculty can make us aware of first year students they deem to be in need of academic support services.

An overview of the information you provide will be shared with the student, and used by an academic advisor to assist the student in developing an "action plan" to address and remedy the academic or non-academic concerns.

Thank you for supporting this effort and for helping us assist students.


FACULTY & CLASS INFORMATION:

Faculty Name:  

Semester/Year:

Class (prefix & number):

I would like to receive a follow-up email

Faculty email address: 


STUDENT INFORMATION::

Student Name:

Student Z Number (if known will help expedite): 

Academic Concerns: (please check all that apply)

Excessive Absences
Unsatisfactory Exam Results
Not Meeting Assignment Deadlines
Not Turning in Homework
Under or ill-prepared for course content

Other:

Non Academic Concerns

 

Have you attempted to contact the student

If yes, brief summary of your conversation::

Upon completion of the form, please click the "Submit" button below.  An academic advisor will be in touch with the student.