Academic Probation Self Assessment

*Student's name

*B number

*E-mail

*Cell phone

I would like to register for: Fall Spring Summer

I understand I am meeting with an advisor because my semester or overall GPA is below a 2.0 (C average).

My semester GPA is and my cumulative GPA is

I understand that because of my academic performance:

• My financial aid may be negatively impacted.
• The number of credit hours I can take per semester will be limited.
• I will need to meet with my advisor prior to registering for classes.
• I will need to check in with my advisor at least once during the semester.

I also understand I may not be allowed to return to Oakton if I do not earn the minimum GPA required to return to good standing.

Please select up to three from the list.
I did not do well academically because:

The coursework was too hard.

I didn’t care about school.

I was uncertain about attending college.

I struggled with using my time effectively.

I had trouble studying and/or taking tests.

I worked too many hours.

I worried about money for school/living expenses.

I had no way to get to school/my transportation was unreliable.

I had many family responsibilities.

I needed assistance for a learning or other disability.

I was experiencing personal/emotional issues (relationship,
depression, etc.).

I spent a lot of time with friends and/or extracurricular activities.

I used drugs and/or alcohol.

Other – Please specify.

Employment Status (check one)
I will will not be working during the upcoming semester(s).

If working
I will be working a total of hours per week.

I understand that I must schedule an appointment with an Academic Advisor after completing this form.  I also understand I must bring a copy of this completed form with me to my advising appointment.