Success Plan

Success Plan

A student and one or more program representatives should complete this success plan together. The program coordinator will sign at the bottom of this form, and then it will be routed to the student email addresses entered below for the student's approval. It will be sent to CTE, the student, and the program upon approval.
Student's Name

First NameLast Name
Student's UIC Email
example@example.com
Program
Program Coordinator or Advisor Name

First NameLast Name
Program Coordinator or Advisor UIC Email
example@example.com
Other Meeting Participants
Success Plan Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Progress Check Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Success Plan End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
What are the student's strengths?

Other
What are the student's areas of need?

Other
Any additional comments about student's strengths or areas of need?
Which milestone(s) does this success plan address?

Other
What are the goals of this success plan?
How will you meet your goals?
What is the timeline for completing these goals?
What are the consequences if the student doesn't meet the goals?
What support services could help facilitate student success?

Other
By submitting this success plan, I, the Program Representative, attest that I have met with and talked through this success plan with the student and informed them of the consequences of not meeting the aforementioned requirements.
Should be Empty: