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  • Student Advisory Action Form

  • Date of Violation
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  •  :
  • To correct inappropriate behaviors, staff did the following: (check all that apply)
    Rows

  • I have received advising regarding my classroom conduct, attendance, or academic program and have agreed to the stated plan for imporvement. I understand that failure to improve my classroom conduct, attendance or academic progress to the standard stated in my plan my result in my termination from the program. 

  • Student E-Stamp / Signature
  • Instructor E-Stamp / Signature
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  • Should be Empty: