Student Success Plan
This form is designed to inform students of their progress and to assist students in developing an active plan for improved academic
performance. This form shall be administered to students who fail their first exam, and/or for students who are failing at the
midpoint of their course. The student is responsible for returning the form, filled out with the appropriate signatures. A copy of the
form will be provided to the student, the faculty and a copy will be retained in the student’s academic file.
Student Last Name, First Name
Oluwasayo Oyedepo
Phone Number
2145306318
Email
ooyedepo@ego.thechicagoschool.com
x
Active
Attendance
Current Term
Absence
Probation
Percentage
Academic
Cumulative
Probation
GPA
Continued AP
Program
Group
Current Course(s)
Shift
Instructor
Current Grade
Shaleem Olatunji
Only test grade
Average:
What top 3 factor(s) led to your academic performance in class? [Student Response]:
Reading
Practicing Nclex question
By reading the carefully ,before answering the question
Describe corrective actions that could improve your current study habits and test taking strategies/methods. [Student Response]:
By spending more hours to read
Paying more attention in class
Reading the textbook before class
What actions can you adjust to improve your future performance? [Student Response]:
By learning good study habits
By doing revisions and practices
By making learning fun and listening attentively in class
Have your allowed personal influences to interfere with you obtaining your goal? If so what are you prepared to do to obtain your
goal? ____ _No, nothing has interfered with my goal______________________________________________________________
What do you need to change to be more successful? (Name 3)
Reading more
Taking notes during lecture
Practicing Nclex question
Instructor Recommendations/Feedback/Comments:
Once you realize what you need to do to succed in this class the responsibility yours. Success is your goal, utilize the areas I have
presented above and your success will improve.
Acknowledgement:
I understand that I am receiving this advisement as a result of academic performance. I am aware that it is my responsibility to
improve my performance or be at risk of course/program failure. I will complete the above assignments listed in my success plan. I
will return this form, completed with the appropriate signatures.
Instructor Signature:
______________________________
Student Signature:
______
________ ______Oluwasayo Oyedepo_______________
Exam #:
01
02
03
04
05
06
07
BM
Date Taken:
09/15/21
09/29/21
10/13/21
__________
Tutoring Date:
Grade Received:
68
65
69
______________
Time Attend:
____________
Tutoring Date:
______________
Time Attend:
______________
Time Attend:
__________
Date:
__________________
Topics Covered:
_____________________________________
Instructor Printed Name / Signature:
____________
Tutoring Date:
PERFORMANCE TRACKER:
Required Tutoring: NCLEX Questions:
__________________
Topics Covered:
_____________________________________
Instructor Printed Name / Signature:
__________
Date:
__________________
Topics Covered:
_____________________________________
Instructor Printed Name / Signature:
Faculty:
Hybrid/Distance Education Course Risk Factors
(as indicated by course)
Date: _________________
__________
Date:
____________
Tutoring Date:
Date: _____10/27/2021______
Student Initials:
OM
OM
OM
______________
Time Attend:
Faculty Initials:
__________________
Topics Covered:
_____________________________________
Instructor Printed Name / Signature:
____________
Tutoring Date:
______________
Time Attend:
__________________
Topics Covered:
_____________________________________
Instructor Printed Name / Signature:
____________
Tutoring Date:
______________
Time Attend:
__________
Date:
__________
Date:
__________________
Topics Covered:
_____________________________________
Instructor Printed Name / Signature:
Student:
Hybrid/Distance Course: List top 3 challenges
__________
Date:
Questions to consider when fill out this form
Reading assigned chapter PRIOR to class Y_yes_____N____
Do you follow the instructor in class Y_yes__N___ are you confused during lecture Y___N__
Do you ask questions in class? Y_yes__ N___
Do you answer questions in class when asked ? Y_yes__N____
Do you create an outline of assigned chapters PRIOR to class Y__yes___N_____
Do you use highlighters to help make study sheets? Y_yes____N______
Are you memorizing terms prior to using work book? Y__yes_ N____
When answering in the work book do you understand why the answer is correct and why the other answers are wrong ? Y_yes__
N____
Are you utilizing the work book after you study the chapter for test preparation ?Y_yes___ N_____
Student resources:
Did you use the Student Resouces provide by THE POINT( book publishers) that comes with your book for studing?Y_yes__N___
Using text tools: Animations___yes__ Medical terms tools___yes_ Answer chapter objectives___yes_Workbooks____yes__
What outside resources are you using in conjunction with class?____rn.com, nurseslab.com____youtube videos, U word,
Saunders______________________________________
How often do you use these? ___yes__everyday______ Do they help? Y__yes___N____
Did you go back to the chapter after the test and highlight what you missed for remediation?Y__yes__ N____
Have you attended all the extended tutoring offered? Y____ N__no____ How many?______
Are you working with a study partner that holds you responsibile for subject matter?Y____N__no____
How often?________
How do you learn: auditory_____ Visual__yes___ Kinetic_______?
Are you using these skills in learning ? such as making colored diagrams, mapping or listening to your recorded lecture notes, or
using matching cards you constructed? Y_yes__N___
If you are working do you think you need to adjust your hours to get 4-5 hours post class studing time in a day ?Y___N____