Student Academic Review Form
Review academic progress and identify support needs.
Student Name
*
First Name
Last Name
Review Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Grade Level
*
Please Select
Elementary
Middle School
High School
College or University
Other
Academic Term
*
Please Select
Fall
Winter
Spring
Summer
Other
Current Academic Standing
*
Good standing
Making progress
Needs improvement
At risk
Not yet assessed
How would you rate the student’s academic progress?
*
Needs significant support
1
2
3
4
Excellent progress
5
1 is Needs significant support, 5 is Excellent progress
Attendance Status
*
Please Select
Consistent
Occasional absences
Frequent absences
Not assessed
Areas Where Support May Be Needed
Coursework or study skills
Attendance or engagement
Organization or time management
Access to learning resources
Well-being or adjustment
Other
Support Recommended
Teacher or advisor check-ins
Tutoring or academic support
Study planning
Learning resources
Referral to appropriate support services
Other
Additional Review Notes
Submit Review
Should be Empty: