Academic Intervention Measures

Please complete this “Academic Intervention Measures” (AIM) form to generate an outreach to students who may be experiencing difficulties in your courses: excessive absenteeism, poor quiz and test scores, lack of work submitted, difficulties using technology. Many times an early intervention helps the student to be successful. Once submitted, a member of the Academic Service team will then follow up with the student to offer academic support.


*Student Name:

*Student ID:

*Course Name:

*Course Number:



*Date: (MM/DD/YYYY)


 Poor Class Attendance
 Poor Quiz/Test Performance
 Unsatisfactory Class Participation
 Enhancement of Technology Skills


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