Academic Probation Self Assessment

We understand sometimes things will happen that impact your performance in class.  When these roadblocks occur, your advisor wants to make sure they can help you get back on track and be successful.  Because your academic performance has fallen below the necessary 2.0 GPA (C average), we are requiring you to complete this self assessment tool.  Please provide honest answers to the questions on this self-assessment. Your answers will assist your academic advisor in identifying problem areas, as well as assist with creating a strategy for academic improvement.  This form must be completed and printed prior to you scheduling an appointment to meet with your academic advisor.

* = required field

*Student's name

*Student ID number


Cell phone

I would like to register for


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

Semester GPA

Cumulative GPA

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 not be working during the upcoming semister(s)
I will be working during the upcoming semister(s)
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.