Retention Referral Form - Bossier Parish Community College

Retention Referral Form

Please complete as much information as possible and click SUBMIT to refer your student to the CALL Attendance/Retention Program. Your student will be personally contacted for attendance counseling.

Referral Information
*Name of Student:
*Referral Date:
*Name of Instructor:
*Instructor Email:
*Class:
*Section:
*Current Grade or Points out of Points Possible:
*Current Number of Absences:
Reason for Referral: (check all that apply)*	Late to start class Late submissions Incomplete work Low quality work Work not yet submitted Other
Comments: (especially recommendations for student):

*Required Fields