Alumni Follow-Up Entry Form - Access Center Intranet

StuNum (if known)

Student First Name

Student Last Name

Project

Bridge Scholar

Talent Search

Upward Bound

*

High School Graduated From

Year of High School Graduation
*

Date of Follow-up
*

Follow-up By: (Enter First Name and Last Name)

College/Term First Enrolled: (ie CSU FA14)

Did student face any challenges in first year? Y/N

Yes

No

*

Challenges Faced

Isolation

Lack of Connection to Resources

Lack of Financial Resources

Lack of Integration

Skill Deficiencies

*

Recommendation
*

Comments
*

Additional Follow-Up Needed?

Yes

No

*

Recommended Follow-Up Date:
*