Student Remediation Plan

Student & Course Information:

Student Name:
Instructor Name:

Student ID:
Course, Number, & Section (e.g., Math 118 PR):

Date Plan was communicated to Student:

Concerns & Plan:

Alert
General Concern

Does not attend class regularly

Is frequently late to class

Does not complete homework

Performs poorly on homework

Has missing assessments (e.g.,
quizzes, exams, etc.)
Performs poorly on assessments (e.g.,
quizzes, exams, etc.)
Does not engage or participate in
class discussion or activities
Demonstrates other non-cognitive
issues that interferes with class
performance

Remediation Plan
Actions To be taken

Actions After Successful Completion