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PASS Faculty Progress Evaluation Untitled Document
Evaluation Form


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The PASS program uses the information requested below to discuss progress and problems and to assist in offering further academic support and encouragement to each student. Your written evaluation of this student is very important to this process and your cooperation would be appreciated. Please complete and submit the form. If you have any questions, feel free to contact Alix Moffatt or Lydia Hanhardt at earlyalerturi@etal.uri.edu or 401-874-5527/401-874-5168. We welcome communication from our students' instructors at any time. Please note that students have signed a waiver allowing us to communicate with their faculty as part of their participation in the PASS program. Thank you in advance for your cooperation.

Student's Name
First Name
Last Name
 

Please check yes or no on the right of each item: YES NO



Number of Absences: Numbers only.    
   
Please record student's grade/s in:  
Numbers only.  
Numbers only.  
Numbers only.  

Comment:

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CONTACT INFORMATION

Alix Moffatt
401.874.5527
earlyalerturi@etal.uri.edu
Roosevelt Hall, Room 237

Lydia Hanhardt
401.874.5168
earlyalerturi@etal.uri.edu
Roosevelt Hall, Room 235

In the event of an Emergency
Please contact the On-Campus police
department at
401.874.2121

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