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University of Houston-Clear Lake  

Hours and Location

Summer 2015 Tutoring

Tue, May 19 - Fri, Aug 14
Mon - Thu: 8:00 am - 7:00 pm
Fri: 8:00 am - 5:00 pm
Sun: 1:00 pm - 6:00 pm
Check TutorTrac for tutoring details.

StudentSuccessCenter@uhcl.edu
Phone: 281-283-2450

Find us in SSCB, 3rd floor

Academic Support Referral Form

Academic Support Referral Form

This form is no longer used.
Faculty, please use the ASR link through your PeopleSoft class roster.

* Required

Instructor Information

*  

*  

*  

*  


Student Information

*  

 

 Classification  
 
 
 
 School  
 
 
 
 

 


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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