Academic Warning/Probation Assessment
Please take your time completing this assessment, providing honest answers based on your past academic performance. Please
respond, print, and bring to your first meeting. Your answers will be used in follow-up advising sessions.
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First and last name: Click here to enter text.
Tech ID or Star ID:
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Email address:
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Phone number:
5.
What is your current major?
Do you intend to continue in this major? ☐Yes
☐No☐
If not, what major are you considering instead (if you do not know, write “undecided”)?
6.
What is your current academic status? (please see your email from Academic Affairs if you do not know your status)
☐I am on academic warning for the first time.
☐I was suspended, and am now returning to the University.
☐I was on academic warning during a previous semester. I met academic requirements during that semester and am now
on academic probation.
☐I am not sure of my academic status.
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Check the box that best describes your behavior for each statement.
I have to read textbook several times before I understand the material.
I have the next class’s reading assignment completed before the class.
My lecture notes prepare me for quizzes, tests & exams.
I take notes on readings assigned for class.
I freeze up taking tests.
I am easily distracted when taking an exam.
I depend on last minute cramming to do well on quizzes and tests.
I have used resources like tutoring to help with my academics.
I use a planner to keep track of assignments and non-academic commitments.
I attended class last semester.
My living situation was an obstacle for me.
Working a job interfered with my academic success.
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Occasionally
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Often
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Always
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Where do you spend most of your time studying?
☐My room or home
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Never
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☐Residence hall lounge ☐Library
☐CSU ☐Other (please specify):
Approximately how many hours per day do you do the following activities:
a. Attending class
b. Hours studying during the week
c. Hours studying during the weekend
d. Working a paid job
e. Social/extracurricular activities
f. Sleeping/personal hygiene
g. Social networking (Facebook, texting, Skype)
10. How difficult is it for you to manage your time?
☐Easy ☐Fairly easy
11. How many classes did you miss last semester?
☐0-3
☐4-6
☐Fairly difficult ☐Difficult
☐7-9
☐10+
12. I missed class because (check all that apply)
☐I did not feel motivated to go to class.
☐I had other commitments that took me away from class.
☐I was uninterested in class material.
☐I had personal reasons/struggles that prevented me from attending class.
☐Other (please specify)
13. If I missed class, I made up for it by
☐Copying another student’s notes
☐Consulting with the instructor
☐Nothing
☐Other (please specify)
14. How many hours per week did you work your last semester?
☐I did not work while school was in session.
☐1-15 hours per week
☐16-25 hours per week
☐26-35 hours per week
☐36+ hours per week
15. Were there any personal issues that made it difficult for you to concentrate on academics? If yes, please explain.
16. What do you hope to take away from your advising meetings this semester?
We have resources on campus to help you. Please select any areas below that you would like more information about so we can
connect you to resources.
☐Study skills/time management
☐Tutoring and/or writing assistance
☐Learning disabilities
☐General counseling
☐Health consultation
☐Career direction and/or major exploration
☐Language learning support
☐Cultural support
☐Women’s issue support
☐LGBT support
☐Non-traditional student support
☐Financial assistance
☐Student activity involvement
☐Other
Please bring this complete form to your first meeting with your Warning/Probation Advisor. You can schedule your meeting by
calling 507-389-2416. Have your name, Tech ID, and phone number to schedule that appointment.
Advising “U” Center  Armstrong Hall 114  507-389-2416