Northern State University

Attendance Report Form

STUDENT'S NAME:                 

REFERRED BY (your name):

REFERRED FOR:

Attendance Issues

Class not Attending:

University College                                       Counseling Center, SC 217; x2371                            

        Math Center, DH 209; x 7782                   Test Anxiety, SC 217; x 2371            

        PASS Program, DH 201; x 2633                Time Management, SC 217; x 2371            

        Exam Review, DH 201; x 2633                     Stress Management, SC 217; x 2371             

        Study Skills, DH 201; x 2633                     Retention Ass't, SC 217; x 2371                              

        Tutoring, DH 201; x 2633                         Personal Issues, SC 217; x 2371                        

        Writing Center, DH 209; x 7782                Health Services, SC 229; x 7694 

         Reading Center, DH 201; x 3427       

Enrollment Services, DH 101; x 3400          Residence Life, SC 201; x 3007

Hall Director for hall            Multicultural Office, SC 207; x 3007

Veteran's Affairs, DH 111; x 7692              Disability Services, SC 217; x 2371

Career Development & Placement, SC 217; x 2371                      

SD Career Center (formerly Job Service), SC 234; x 7689

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This area to be completed by SRSP office:

ID #:                 Telephone #:

Advisor:         Campus Address: