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Student Academic Progress Report

Student Name:

ID#:

Instructor: Course:

Date:

Number of Absences:

If grade not available, please explain academic progress below:

Progress Notes:

Instructor Signature Date

At risk to fail class? Yes No

MdP NW RG TM VV

Campus:

Grade up to this point if available:

A B C

Progress:

Satisfactory Unsatisfactory

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