Check off any area(s) of concern regarding the student:
Attendance Study Skills
Test Scores Written Expression
Grades Reading Skill
Late Work Language Skill
Time Management Comprehension
Attitude N/A
INSTRUCTORS:
PLEASE RETURN THIS
COMPLETED FORM
TO THE STUDENT.
COPPER MOUNTAIN COLLEGE
EOPS PROGRESS REPORT
STUDENT’S NAME_____________________________________ STUDENT’S ID # _____________________
INSTRUCTOR: ______________________________ SUBJECT____________________________DATE: _____________________________
Recommended Interventions:
Tutoring
Office hours
Student Success Center
Withdrawal from Class
Suggestion:
______________________
To Instructors: Please assist us by marking the applicable boxes. Please make any additional comments regarding student concerns on this form.
After completion, please return to the student. Thank you.
Students: Step1: Have your instructors complete and sign this form within the submission period.
Step 2: Return to the EOPS Counter.
Step 3: Make an appointment to see your counselor.
INSTRUCTOR SIGNATURE: _____________________________________________________________ Date: _______________________________
*********************************************************************************OFFICE USE*************************************************************************************
DATE RECEIVED: __________________________ STAFF SIGNATURE: ________________________________
COUNSELOR APPOINTMENT:_______________________________ CONTACT LOG:____________________________________ SPREADSHEET:________________________________
Comments:________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
Student Standing:
A
B
C
D
Failing
SUBMISSION PERIOD: October 7th – November 8th 2019
Rev. 8/06/19
