Academic Self-Assessment

Please Read Before Completing Academic Self-Assessment

The following form will ask you to provide information that will allow us to best support you and your success as a Southern student! Any information you provide (personal, medical, etc) is optional. It will be seen by an Advising Specialist. You are not required to provide any information you wish to keep private.
Sexual Misconduct

Please be aware that if you report or disclose an incident of sexual misconduct to a university employee, they are required to inform the University’s Title IX coordinator so that you may receive all supports, resources, and reporting options, available to you.
By clicking "I understand", you indicate that you have read the information above and understand that any information you provide in this assessment is optional. *

I understand

Academic Self-Assessment

Please thoughtfully complete this assessment and be prepared to discuss the topics with your AAC Advisor. It will help them identify which support services are best suited for your needs! Once you have completed this form, be sure to schedule your Academic Improvement Meeting (AIM), if you haven't done so already!

This should take you about 15 minutes to complete
Name *

First Name Last Name
Southern email address *

Confirmation Email example@southernct.edu
Student ID number *
Current Major *
Do you have a second major? *

No Yes
Second Major *
How do you feel about your major? *

I love my major and am 100% confident in my decision! I'm fine with my major but I don't love it I feel indifferent about my major. I don't love it but don't hate it. I'm not happy with my choice of major. I hate my major! I don't know enough about my major to have feelings about it.
Do you have any thoughts on what you might want to study for a major? *
Obstacles

Please take a moment to identify the issues that you feel may have impacted your grades and performance over last semester. Select all that apply and add "other" if there is something that is not on this list. YOU ARE NOT REQUIRED to provide any information you wish to keep private.
ACADEMIC

Study skills Time management What worked in high school doesn't work anymore Difficult classes/not prepared for course level Unable to understand course content Difficulty/conflict with course instructor Difficulty with online/hybrid course formats Difficulty concentrating Attempted too many courses Did not attend/skipped class
MAJOR/CAREER

My major is too hard. I was interested in my major, but have lost interest lately. The major I chose is not what I expected. I feel like I don't know enough about my major. I don't like my major, but was pressured to do it. There's another major I'd rather pursue but I'm nervous about career options. Uncertain about my career path.
PERSONAL/OTHER

Financial Working too much Transportation issues Not having a safe/consistent place to sleep Not having a reliable source of food/healthy meals Over-involved with extra-curricular activities Stress, anxiety or tension Physical health issues Mental health issues Alcohol and/or other substance use Disability Lack of motivation Technology issues
FAMILY/SOCIAL

Residence hall issues (roommate, noise, distractions, etc.) Relationship challenges Personal/family situation Homesick Difficulty adjusting to college life Hard to make friends/loneliness Taking care of a dependent (child, sibling, etc) or parent/grandparent Loss of a loved one
Of the obstacles you identified above, can you identify any ways to make changes in your life? *
Resources You've Used

Let us know which Southern resources/support services you've used in the past.
Please check all of the resources you've used/visited. *

Academic Advising Center/AAC Advisors Assigned Academic Advisor Center for Academic Success and Accessibility Services (CASAS) Career and Professional Development Counselling Services Dean of Students Financial Literacy and Advising Professor Office Hours University Access Programs (SEOP, PASS, Gear Up, New Haven Promise)
Strengths and Interests

Sharing your strengthsand interests will help us work with you to create your Academic Improvement Plan!
What are some things you're proud of from this past semester? These can be personal and/or academic *
What are your top three strengths? These can be personal and/or academic. *
What are your favorite subjects in school and why? *
SMART Goals

Goal setting is important when developing an improvement plan! Below, identify three SMART goals for the upcoming semester.

Be sure each of your goals fit the SMART criteria below:
SMART Goal #1 *
SMART Goal #2 *
SMART Goal #3 *
What support do you feel you need in order to be successful here at Southern? *
Please share any other issues that would help your AAC Advisor create an improvement plan with you.
Please verify that you are human *
Should be Empty:

Please Read Before Completing Academic Self-Assessment

Sexual Misconduct

Obstacles

Resources You've Used

Strengths and Interests