Faculty Referral for Academic Assistance

As part of the Health Care Futures Grant, faculty members in Health & Rehabilitative Sciences can refer students in their classes to receive academic support above and beyond what the faculty member wish to deliver.  Referred students will be tracked as part of the HCF Grant and the referring faculty will be notified of all correspondence to the referred student, recommendations for remediation from Success Center staff, student compliance and effort, as well as a follow up at the mid-term and end of semester.  Students receiving multiple referrals from several instructors will be prioritized for intervention and assistance.

This pilot is a voluntary program available for students enrolled in Health & Rehabilitative Sciences classes only.

Please provide the following information:
 

Your Name: 

Office Phone:     Your CCRI E-mail address: 

Course #, Section # and Title: 

Campus: Flanagan-Lincoln    Knight-Warwick    Liston-Providence    Newport

Please inform us about the Health Sciences student for whom you have a concern and do not feel that you can provide the additional out-of-class support they need.  We will contact them, share your concerns, provide an individual learning assessment and share our recommendations with you as well as a progress report at the midterm.

Student Name:     Student ID #: 

Problem Areas Check all that
may apply
Has missed two or more classes in the first 3 weeks.
Failed first exam or quiz.
Is having trouble with course content (please specify below)
Did not turn in/complete first assignment.
Has yet to participate in class discussions.
Other (please specify below)


Names of students who are having trouble with course content:


Other problem areas? (Please give specifics)

Have you communicated these concerns with the student?  Yes   No

Thank you for your participation.
 

Michael J. Cunningham
Assistant Dean for Student Success
Tel:  401-825-1061
mjcunningham2@ccri.edu