Academic Recovery Program Action Plan
Morehead State University, particularly the Office of Academic Advising and Retention, is committed to helping you
reach your academic success and career goals. This action plan is designed to help you reflect on previous semester(s),
and develop a plan for future academic success. We encourage you to be as honest as possible about commitment and
dedication to investing in your academic success. We will provide guidance and assist with developing a plan that is
realistic and achievable for you.
Section 1: Demographic Information
Last Name: ____________________
First Name: ____________________
Student ID #:____________________
MSU Email: ________________________________________ Preferred Phone #:________________________________
Major: ________________________________________ Academic Advisor: _______________________________
Section 2: Probation Agreement
Please initial each item below to show that you have read and that you understand the requirement.
I understand the provisions stated below and agree that while on academic probation, I will adhere to the requirements.
Initial
Requirement
Enroll and participate in MSU 099 “Learning for Success”. (STUDENTS WHO HAVE PREVIOUSLY
COMPLETED THIS COURSE WILL NOT TAKE MSU 099 AGAIN).
Attend the Academic Recovery Program Orientation and complete the midterm workshop blackboard
module.
Complete the Action Plan and turn in a signed copy to the Office Academic Advising and Retention, 321
Allie Young Hall, at the end of the first workshop. *Online and extended campus students can complete and
submit this form online by February 5, 2016.
Meet with the academic advisor and professors a minimum of two times throughout the spring semester.
Turn in a completed Progress Form I by Friday, February 19, 2016 and Progress Form II by Friday,
April 22, 2016 to the Office of Academic Advising and Retention, 321 Allie Young Hall. Phone: (606)
783-2084. Fax number: (606) 783-5072 or aars@moreheadstate.edu.
Meet with assigned Peer Coach at least three (3) times during the semester.
Earn the minimum cumulative grade point average to reach scholastic standing guidelines
Acknowledge that academic probation may impact financial aid as students are required to maintain specific
academic standards in order to be compliant with federal financial aid regulations.
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Academic Advising and Retention- 321 Allie Young Hall; 606-783-2084; aars@moreheadstate.edu
Section 3: Assessment of Obstacles Preventing Success
Complete this list by checking each item has been an obstacle that has prevented your academic success.
Goals and Directions
___Unsure of interests/Unable to decide on Major
___Overall lack of motivation
___No clear career goals
___Not Sure I want to be in college
___Unsure if present major is right for me
___Not sure if MSU is the right university
Did you meet with your advisor at least once last semester? ___Yes ___No
Time Management and Organization Skills
___Overall difficulty and managing time
___Did not use a planner to record academic and
non-academic commitments
___Procrastinate on course assignments, test,
preparation, etc.
___Spend too much time on leisure activities
___Make daily to do lists but don’t follow through
___Other________________________________
___Fall behind in reading and class work
___Lose or cannot find important class information
papers, etc. when needed
___Turn in assignments late
___Poor organization skills
___Working too many hours
___Waste time on low priority activities
Did you use a daily plan or other type of time management tool last semester? ___Yes ___No
If yes, were you able to stay organize and use your time effectively using this planner/tool? ___Yes ___No
Academic Issues
___Lack of general study skills
___Do not follow a study plan
___Do not use a designated study area
___Difficulty understanding textbook readings
___Spend too much time on reading assignments
___No preparation before class
___Poor in-class note taking skills
___Lack of class participation
___Inadequate test preparation
___Test taking or test anxiety issues
___Study but cannot pass test
___Poor attitude toward class and/or professor
___Did not meet communicate with professor
___Other_____________________________
In what two classed did you struggle the most last semester? Why?
1._____________________________________
2.___________________________________
Why? ____________________________________
Why? ____________________________________
Class Attendance: Please indicate your overall pattern of class attendance during the most recent semester.
___90-100%
___75-89%
Personal Issue
___Physical Illness
___Financial problems
___Dating or other relationship problems
___Housing, roommate issues
___Cannot make friends
___Homesickness
___Problems sleeping or lack of sleep
___50-74%
___25-49%
___< 25%
___Distracted by family problems at home
___Substantial family commitments
___Use of alcohol or other substance abuse
___Feel stressed and overwhelmed much of the time
___Cannot find meaning for anything
___Feel “blue” much of the time
___Racial or other diversity issues
Academic Support Resources: List resources you used last semester such as: professors, tutoring, counseling, etc.
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Academic Advising and Retention- 321 Allie Young Hall; 606-783-2084; aars@moreheadstate.edu
Section 4: Semester Goals and Action Plan
Use this chart to develop at least three personal and/or academic goals to accomplish this semester. Decide what you need to do (steps) to accomplish
each goal by creating an action plan. Finally, think about the obstacles or challenges that you may face that could interfere with you accomplishing
your goals; decide how you can overcome those obstacles.
Goal
Action Plan
Challenges and Obstacles
1.
2.
3.
Student’ Signature_____________________________________________
Date_________________________________________
Do you want your advisor to receive a copy of this Action Plan?
(circle one) YES
NO
YOU ARE STRONGLY ENCOURAGED TO DISCUSS THIS FORM WITH YOUR ADVISOR AS IT MAY BE HELPFUL TO YOU IN CREATING AN ACADEMIC
PLAN FOR THE FALL SEMESTER AND BEYOND.
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Academic Advising and Retention- 321 Allie Young Hall; 606-783-2084; aars@moreheadstate.edu