Office of the Registrar - Eastman School of Music

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Unsatisfactory Academic Progress Report
(Undergraduate)

This form is intended for the use of Eastman faculty only.

Use this form to report students who may be at risk of failing a course due to absence, lack of preparation, poor performance, or other difficulties. When submitted, this form goes to the Assistant Dean of Academic Affairs. Copies will be routed to the academic advisor or other faculty and administrators as appropriate.

Instructor Name
Subject & Course Number
examples: ENG 101, TH 400
Instructor Email
Semester
example: Fall 2004, Spring 2005
Undergraduate
Student Name
Student ID
eight-digit UR-ID (on course roster)
Notable Problems yes/no
excessive absences
lack of preparation
seeming lack of ability
other (comment below)
Present Grade
(Unofficial)
Instructor remarks/suggestions for improvement.

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