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Please complete this form if you have any concerns for a freshman student.
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Name of person filling out form
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Student's First Name
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Student's Last Name
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Student ID
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Teacher's Name
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Teacher's Email
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In which course do you teach this student? (ex. IM 1)
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What specific skill is the student struggling with?
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Is there urgency? (ex: upcoming test, quiz, project)
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If yes, please explain:
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