STUDENT IMPROVEMENT FORM

• Conducted on

  Date

• Prepared by

• Location
  Address

Student Improvement Report

• Under the Freedom of Information Protection of Privacy Act the information collected on this form is for the purpose of to the Director, Library & Student Services/Registrar of Olds College

• Date

  Date

Student

• Student Name

• Program

• How are they doing in the class to date?

Behavior Issues

• Late arrival to classes/field

  Yes

  No

  N/A

• Disruptive behavior in class

  Yes

  No

  N/A

• Inappropriate behavior toward instructor or other students

  Yes

  No

  N/A

• Abuse of college property

  Yes

  No

  N/A

• Failure to follow safety policy or procedure

  Yes

  No

  N/A

Personal Difficulties

• Weak written work

  Yes

  No

  N/A

• Weak presentation skills

  Yes

  No

  N/A

• Weak psycho-motor skills in practical training

  Yes

  No

  N/A

• Health concerns

  Yes

  No

  N/A

• Test Evaluation anxiety

  Yes

  No

  N/A

Academic Performance/Integrity

• Yes

  No

  N/A

• Poor classroom/laboratory attendance

  Yes

  No

  N/A

• Exam missed

  Yes

  No

  N/A

• Cheating/dishonesty/plagiarism ( requires documentation)

  Yes

  No

  N/A

• Unacceptable participation in a student team

  Yes

  No

  N/A

• Assignments late, incomplete or not handed in

  Yes

  No

  N/A

• Other

Reasoning ( refer to policies if needed)

• Explanation (refer to policies if needed) :

Check Recommended Action(s): Meet with

• Who do they need to meet with

  Trades Programmer

  Director, Continuing Education

  Counsellor

  Learning Assistance Center

• Instructor Signature

  Sign

Student Response

• Explanation

• Date

  Date

• Signature

  Sign