Academic Action Plan & Self-Assessment

General Engineering Probation

The goals of this plan and self-assessment include:

  • Evaluating your approach to academic coursework and making changes as needed.
  • Identifying obstacles from the previous semester that impacted your academic success.

Student Information

Name: / Date: / Student ID:
(ID on PASS, not Pioneer Passport ID)
Major: / Cumulative GPA: / CORE GPA:
Academic Advisor:
Supplemental Advisor: Kim Sargent / Cumulative Credits (#): / Credits (#) since first enrolled in Calc I:
Current Contact Info – Email and Cell Phone:
Is it OK to text? Yes or No

Discussing Probation Status:

What does my dismissed from
General Engineering status mean? / What do I need to do to improve/change my status in General Engineering? / What will I do if I do not improve my status and I am dismissed from GE again?

In reviewing your academic performance, what obstacles have negatively impacted your academic status?

 Check all that apply and circle or bold the top 3 obstacles that have impacted your academic progress.

Academic / Personal/Other
__Ineffective study skills / __Financial difficulties
__Undeveloped time management skills / __Health problems
__Unprepared for exams / __Hard to get out of bed in the morning
__What worked in high school doesn’t work anymore / __Use or abuse of alcohol or other substance(s)
__Hard to concentrate/daydreaming / __Possible learning disability
__Difficult classes/not prepared for course level / __Difficulty sleeping at night
__Conflict with professor / __Pressure, stress, anxiety or tension
__Unable to understand course content or find relevance in course material / __Excessive time spent online (Facebook, YouTube, Gaming, etc.)
__Registered for too many classes / __Over-involved with extra-curricular activities
__Did not attend/skipped class / __Lack of motivation
__Uncomfortable/oppressive classroom climate / __Working too much (# Hours/Week ______)
Major/Career / Family/Social Adjustment
__Uncertain about current major / __Roommate issues
__Changed major one or more times / __Personal relationship issues
__Unsure what jobs are associated with major / __Violence or abuse of any kind
__No clear career goals / __Family situation
__Not sure why I’m in school / __Moved away from home/homesick
__UW-Platteville may not be the place for me / __Difficulty adjusting to college life
__Hard to make friends/Loneliness

Other factors not listed above:

Now, explain in detail the three most significant obstaclesthat affected your academic performance.

Obstacle / Explain each obstacle’s impact on your success. / How can you overcome that obstacle?
1.
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Academic Action Plan for a Successful Semester
Goal Planning, Action and Resources

Academic Action Plan & Self-Assessment for ______(name)

The goals of this session with your advisor include:

  • Setting goals to improve academic success and raise your CORE GPA.
  • Coming up with an action plan and finding resources to reach your goals
  • Building a strong relationship between you and your supplemental advisor.

This is a plan of action for getting the semester off to a strong start. Include meetings with your advisor, instructors, tutoring, and other resources. Complete the first column before the first meeting.

GOAL
/ ACTION PLAN
(How are you going to reach the goals you set?) / AVAILABLE RESOURCES
(Tutoring, professors, advisors)
Use Campus Resource list from PATH OFFICE
1.
2.
3.

Following are the meeting dates and times set by me and my advisor to discuss my progress. I agree to attend all meetings . If I am unable to attend a meeting I will notify my advisor in advance and reschedule. The first meeting must take place before or during the first week of classes. I acknowledge that if I fail to attend these meetings, my advisor will not advocate for me during the appeals process.

Meeting / Date / Time / Notes
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8

I agree to provide Academic Progress Reports to my special advisor, twice during the semester. I will get all of my grades from my professors and their signatures. It is best to go to your professors during their office hours or give them advance notification that you need your grade by a certain date.

Academic Progress Report #1 Due week of: ______(6th week of classes) Turned in on ______

Academic Progress Report #2 Due week of: ______(10th week of classes) Turned in on ______

Student Signature: ______Date: ______

Supplemental Advisor Signature: ______Date: ______

Original Copy – Special Advisor, Part 1: To be completed by the student

Photocopy – Student and academic advisor

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