TRiO/Student Support Services (SSS)

Mid-term Report


Please fill out the form below and click "Submit"


Instructor's Name:  
Student's Name:    

1. Class Attendance (Check all that apply.)

Always attends class.
Has missed 1 or 2 class periods.
Has missed more than 2 class periods.
Does not attend.
Often late to class.
Other. Please explain:


2. Class Participation (Check all that apply.)

Active participant in class discussions.
Active participant in small groups and/or special projects.
Listens attentively, but offers little to discussions
Does not seem to be listening and/or does not participate in discussions, small groups, etc.
Makes use of office hours to ask questions, clarify ideas, etc
Other:


3. Characterize this student's motivation and level of effort. (Check all that apply.)

The student seems very interested in the course
The student's effort in the class is high (i.e. comes in to question or clarify, asks questions).
The student is trying hard, but because of background, the course remains difficult.
The student seems to have interest, but tests and written work are below average.
The student shows little interest in the course.
The student shows little effort in the course.
Other:


4. Please comment on punctuality and consistency of completed assignments (Check all that apply.)

The student generally turns in assigments on time.
The student is usually late in turning in work or never gets to it.
The student often asks for an extension of deadlines.
The student doesn't spend enough time on assigments
Other:


5. Please comment on special abilities or weaknesses that you have observed.




6. Would you recommend any of the following services for the student?

Individual Tutoring.
Use of the Writing Place bfore turning in papers.
Use of clinics offered by the ASC or your department.
Study Skills.
Time Management.
Other:


7. Estimated grade to date: