Intervention Alert Form

Use this form to alert the Office of Student Life of any student who is struggling academically, socially, or personally, or who may be considering withdrawing from George Fox.

Please indicate if you DO NOT want immediate follow-up with the student by appropriate personnel and are merely completing the Intervention Alert as a point of information.

When appropriate, and unless you have indicated otherwise on this form, this information may be shared with the Student Support Network.

May we share your name with the student?

Check any of the following that may be factors in the student's situation: