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Student Referral
Campus:
Concordia
Geary County
Online
Student Name
Jenzabar ID#
Class Name
Class Days and Time
Last date of attendance
Recommendation(s):
Student should be counseled because of excessive absences:
Student should be counseled concerning unacceptable classroom behavior:
Student should withdraw because of poor academic performance:
Other action recommended:
Comments concerning recommendation:
Instructor Name
2221 Campus Drive P.O. Box 1002 Concordia, Kansas 66901 | (785) 243-1435 | 1-800-729-5101
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