Pacific University - School of Occupational Therapy
ACADEMIC STANDING
WARNING OR PROBATION
Date: _______________
[ ] Fall
[ ] Spr
Year ________
Student: _________________________________ [ ] Year1 [ ] Year 2 [ ] Year 3
Faculty: _________________________________
It has been observed that one or more of the following academic standing variables (as indicated)
have lead to academic status of:
[ ] Warning
[ ] Probation
The student must provide a written action plan to remediate the identified issues by: ___________
date
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Academic Performance (GPA, course grades or assignment grades)
Development of practice skills (Knowledge, Critical reasoning, technical skills)
Compliance with school rules or procedures
Professional/ethical conduct and attitudes
Interpersonal and professional relations (therapeutic rapport, community/peer/faculty/staff
interaction)
Description of Issue Leading to Academic Warning or Probation:
Program Action and Recommendations:
Director Signature: _________________________________________Date: ______________
Place original in student file and provide one copy to the academic standing coordinator.
Academic Advisor Signature:
__________Date: ______________
Student Signature: __________________________________________Date: ______________
Please Sign and return one copy to Suzie. Signature indicates that you received this notification.
Pacific University - School of OT
6/8/15