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Academic Intervention (updated 2021)


Thank you for using the Academic Intervention Alert Form

The Academic Intervention Team (AIT) is available to Faculty and Staff at Bucks County Community College to issue alerts for struggling students. The AIT allows you to submit a concern you have about a current student’s ability to academically succeed.

IF THIS IS AN EMERGENCY, PLEASE CALL SECURITY AND SAFETY AT 215-968-8911 or 911. THIS FORM MUST NOT BE USED TO REPORT INCIDENTS THAT REQUIRE AN IMMEDIATE EMERGENCY RESPONSE.

If this is a behavioral concern, please fill out the Behavioral Intervention Incident Report by going to the following link: https://cm.maxient.com/reportingform.php?BucksCountyCC&layout_id=0 

Please visit the BUCKS CAMPUS SERVICES  page for additional resources.

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Background Information

 
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Student Information

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Case Information

Please provide as much information as possible regarding the reason for concern. It can often take AIT members several days to locate a student, so please notify the team with any update as they become available.

Above you listed your primary reason for this report. Are there others reasons that you are concerned about? (please explain below)
You must make at least one selection.
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Student Notification: Please indicate if you have spoken to the student regarding this referral.(Required)
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Academic Accommodation: Please indicate if this student is currently receiving any Accessibility Office issued accommodations for your class.(Required)
You must make at least one selection.
Please list any steps you've already taken to support this student.
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If you would like to consult with a member of the team before action is taken, please click yes below and a member of the team will contact you directly.
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Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission