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Retention
WeCare Report
We Care Report 2.0
Step
1
of
3
33%
If you have concerns about a student, please submit this form.
If this is an emergency, please dial 911. If this is an urgent matter that cannot be handled during regular business hours 8 a.m. – 5 p.m. (CST) Monday - Friday, please contact the on-call campus safety number
(701)-659-0032
.
Your Name
*
First
Last
Your Email Address
*
Student Name
*
First
Last
How do you know this student?
*
Examples: student is in your class (specify class), is on your team (specify sport), or lives in your residence hall.
Is the student a Campus Student, a Graduate Student, or an Online and UJA Student?
*
Jamestown Campus Undergraduate Student
Graduate Student
Online and UJ Accelerated Student
I am concerned about this student for the following reason(s):
Homesick
Roommate Issues
Family/Relationship Issues
Disciplinary Action Taken
Dropped from Team Roster
Financial Aid Issues
Payment issues (Business Office)
Not Adjusting Socially
Medical Issues
Academic Concerns
Issues with faculty/staff/coach
Other(please detail below)
Details
Please included details about the areas of concern that you marked above.
Have you discussed your concerns with this student? (yes or no)
*
Yes
No
If "yes," please describe outcome:
Any other comments:
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