UNM Valencia Campus  
  This form is to be used to notify Student Services' advisors about students with poor attendance or performance.  Contacting students by the third week greatly enhances their chances for success in the class.  However, intervention at any time is critical.  This procedure is not intended as a substitute for the instructor to inform students of their academic progress.  Advisors will encourage students to speak with their instructors, as well as refer them to campus services for assistance.  

Information about the instructor:


Information about the student:

SS#: (no longer to be used for security-related reasons)
Banner ID #:
Course No.:
Section No.:

Please select areas of concern (all that apply) and any comments you may have related to each:

Lack of Attendance: Comments:
Poor Grades: Comments:
Incomplete/Missing Assignments: Comments:
Study Habits: Comments:

Please provide any additional comments about this student:


Thank you so much for providing this information.  Be sure to select the "Submit" button below.  As soon as you do, the information you have provided will be emailed to Student Services.

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University Of New Mexico Valencia Campus
280 La Entrada Rd, Los Lunas, NM 87031
(505) 925-8500