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University of Houston-Clear Lake  

Hours and Location

General Office Hours

Mon - Thu: 8:00 am - 7:00 pm
Fri: 8:00 am - 5:00 pm
Sun: 1:00 pm - 6:00 pm

SSCB 3.101
Phone: 281-283-2450

Spring 2015 Tutoring

Mon, Jan 26 - Mon, May 11
SSCB 3.101
Check TutorTrac for tutoring hours.

SHOSTS Peer Mentoring

Mon - Thu: 8:00 am - 5:00 pm
Fri: 8:00 am - 12 noon
SSCB 3.301

Find us in SSCB, 3rd floor

Academic Support Referral Form

Academic Support Referral Form

This notice captures unacceptable student performance. Thank you for informing us.

* Required

Instructor Information





Student Information





Academic Information
 Academic Difficulty Checklist  
 Have you discussed your concerns with the student?  

 With appropriate changes in the student's behavior, can the student still earn a grade of 'C' or better?  

Submitting Academic Support Referral

When your form is submitted successfully, you see a Thank You webpage. If you do not, your form was not sent.


State law requires that you be informed of the following:
(1) with few exceptions, you are entitled on request to be informed about the information the University collects about you by use of this form;
(2) under sections 552.021 and 552.023 of the Government Code, you are entitled to receive and review the information; and
(3) under section 559.004 of the Government Code, you are entitled to have the University correct information about you that is incorrect.

Date Updated: 15-FEB-2012

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