Real Time Alert Form for Faculty

The Real Time Alert (RTA) Form is for Penn State Schuylkill faculty to use anytime during the academic year to alert Michael Verhagen in the Academic Resource Center of any student-related concerns (i.e. attendance, change in attitude, grades, etc...).  

It will initiate an immediate response by Michael, or a his designee, to work with the student in addressing situations.

Please be as detailed as possible when completing this form. This will assist in predicting necessary resources and referrals.

You will be provided a summary of action taken.

Can be faculty or staff - whoever is concerned with student's performance.
Course student is enrolled in, or location of concern for student on campus
Name of student you are submitting this report about.
Please provide a detailed narrative on what concerns you have about this student.
Please list any attempts that you have made in addressing these concerns.
Please list any suggestions that you may have in addressing these concerns.
Please check all that apply to this student (hold the ctrl key to select multiple items)
For class issues, please select the most likely outcome at this point in the semester.
2 + 4 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.