SOUTHERN STATE COMMUNITY COLLEGE

Early Warning System

Student Submission

It is Southern State's desire to assist you, the student, in any way possible to ensure that you can continue with your classes and successfully complete. If you are having difficulties and do not know what to do, please complete this form and someone will get back with you immediately.

Please hit the submit button at bottom of form to submit to retention@sscc.edu; hard copies of this form can be printed at www.sscc.edu/Students/Retention/EWS_student_print_form.pdf

Thanks,

Rhonda Fannin

Retention Coordinator

800.628.7722, x2785

 
Date:
Student Name:
Student ID:
Course Title:
Campus Attending for Course:
(Choose 1 option)		 Central Fayette North South
Please check contact preference:
(Choose 1 option)		 Home Phone Cell Email Mail
Home Phone:
Cell Phone:
Email Address:
Home Address:
Comments: Please list reason(s)
for not returning to class.