The Academic Intervention Measure (AIM) form is designed to ensure that a student receives proactive academic advising, peer tutoring, tutorial services, supplemental instruction, access to an instructional computer lab, and mentoring. Please complete the form to refer a student to ACCESS.
Student Information
S1. Course:
S2. ID Number:
S3. First Name:
S4. Last Name:
Faculty Information
F1. First Name:
F2. Last Name:
F3. E-mail Address:
Personal factors that are affecting student's academic performance :
Unsatisfactory class participation
Poor class attendance
Poor quiz/test performance
Other
Please
press the
FINISH
button below
to submit.