Middle College at Mt. Hood Community College
Probationary Academic Progress Report
Name: ______________________________________________
Course
Week 3 Appt: __/__/__
Week 5 Appt: __/__/__
Term: _____________
Week 7 Appt: __/__/__
Week 10 Appt: __/__/__
Regular Attendance?
Y N
Turning in Assignments? Y N
Utilizing Resources?
Y N
Instructor Initials:
Regular Attendance? Y N
Passing Class?
Y N
Utilizing Resources? Y N
Instructor Initials:
Regular Attendance?
Y N
Turning in Assignments? Y N
Utilizing Resources?
Y N
Instructor Initials:
Regular Attendance? Y N
Prepared for Final?
Y N
Will Pass Class?
Y N
Instructor Initials:
Regular Attendance?
Y N
Turning in Assignments? Y N
Utilizing Resources?
Y N
Instructor Initials:
Regular Attendance? Y N
Passing Class?
Y N
Utilizing Resources? Y N
Instructor Initials:
Regular Attendance?
Y N
Turning in Assignments? Y N
Utilizing Resources?
Y N
Instructor Initials:
Regular Attendance? Y N
Prepared for Final?
Y N
Will Pass Class?
Y N
Instructor Initials:
Regular Attendance?
Y N
Turning in Assignments? Y N
Utilizing Resources?
Y N
Instructor Initials:
Regular Attendance? Y N
Passing Class?
Y N
Utilizing Resources? Y N
Instructor Initials:
Regular Attendance?
Y N
Turning in Assignments? Y N
Utilizing Resources?
Y N
Instructor Initials:
Regular Attendance? Y N
Prepared for Final?
Y N
Will Pass Class?
Y N
Instructor Initials:
Regular Attendance?
Y N
Turning in Assignments? Y N
Utilizing Resources?
Y N
Instructor Initials:
Regular Attendance? Y N
Passing Class?
Y N
Utilizing Resources? Y N
Instructor Initials:
Regular Attendance?
Y N
Turning in Assignments? Y N
Utilizing Resources?
Y N
Instructor Initials:
Regular Attendance? Y N
Prepared for Final?
Y N
Will Pass Class?
Y N
Instructor Initials:
Regular Attendance?
Y N
Turning in Assignments? Y N
Utilizing Resources?
Y N
Instructor Initials:
Regular Attendance? Y N
Passing Class?
Y N
Utilizing Resources? Y N
Instructor Initials:
Regular Attendance?
Y N
Turning in Assignments? Y N
Utilizing Resources?
Y N
Instructor Initials:
Regular Attendance? Y N
Prepared for Final?
Y N
Will Pass Class?
Y N
Instructor Initials:
Regular Attendance?
Y N
Turning in Assignments? Y N
Utilizing Resources?
Y N
Instructor Initials:
Regular Attendance? Y N
Passing Class?
Y N
Utilizing Resources? Y N
Instructor Initials:
Regular Attendance?
Y N
Turning in Assignments? Y N
Utilizing Resources?
Y N
Instructor Initials:
Regular Attendance? Y N
Prepared for Final?
Y N
Will Pass Class?
Y N
Instructor Initials:
Middle College at Mt. Hood Community College
Probationary Academic Progress Report
Resource Plan
Created: ___________________
After meeting with my adviser, we have determined that the following actions need to be taken:
The resources that will help me succeed in my plan are:
 Learning Success/AVID Center—Subject (s):____________________________________________________________________
 Learning Specialist—Area: __________________________________________________________________________________
 Other: __________________________________________________________________________________________________
Resource
Ex: Learning Success Center
Date
1/8/16
Brief Description of Activity
Received tutoring for math homework
Please bring this to each advising appointment!!
Staff Initials
(initials)