Sinclair Community College

Probationary Students

Reason for Academic Difficulty

Directions: Complete this form and bring it with you when you meet with your academic counselor. Mark any of the following which you think may have contributed to your academic difficulty.
Student Name:


Student ID:





When is the last date to withdraw from a class this quarter?
Which Sinclair resources from the Student Success Workshop are most applicable to your situation?
I could be dismissed if?


Study Skills
Poor study skills
Hard classes
Poor high school preparation
Difficulty managing time
Unhappy with teaching style of instructor
Unable to understand course materials
Too heavy of a course load
None of the Above


Career/Major Issues

Unsure of major
Unable to decide from several majors like
No clear career goals or plans
Unsure of interests, skills and abilities
Did not know SCC had a Career Planning Office
None of the above


Personal Issues
Work related issues
Financial difficulties
Use of alcohol or other substance abuse
Pressure, stress, tension, anxiety
Can't find meaning for anything; motivation
Conflicts with social obligations/activities
Possible learning disability
Uncertain where school fits into my life
None of the above


What institutional factors have made learning difficult for you?
Poor teaching
Problems with instructor
Class too large/small
Inconvenient campus hours
Unaware of support services to help students with problems
No opportunity for involvement with other students
None of the above

Study Skills Checklist

Directions: Read each statement below. If it applies to you, check the Y box. If it does not apply to you, check the N box. The purpose of this inventory is to find out about your own study habits and attitudes.

Time Scheduling
Y N I spend too much time studying for what I am learning.
Y N I usually spend hours cramming the night before an exam.
Y N If I spend as much time on my social activities as I want to, I don't have enough time left to study, or when I study enough, I don't have time for a social life.
Y N I usually try to study with the radio and TV turned on.
Y N I can't sit and study for long periods of time without becoming tired or distracted.
Y N I go to class, but I usually doodle, daydream, or fall asleep.
Listening and Note-taking
Y N My class notes are sometimes difficult to understand later.
Y N I usually seem to get the wrong material into my class notes.
Y N I don't review my class notes periodically throughout the semester in preparation for tests.
Y N When I get to the end of a chapter, I can't remember what I've just read.
Y N I don't know how to pick out what is important in the text.
Y N I can't keep up with my reading assignments, and then I have to cram the night before a test.

I often find myself getting lost in the details of reading and have trouble identifying the main ideas.

Y N I rarely change my reading speed in response to the difficulty level of the selection, or my familiarity with the content.
Y N I often with I could read faster.
Y N I lose a lot of points on essay tests even when I know the material well.
Y N I study enough for my test, but when I get there my mind goes blank.
Y N I often study in a haphazard, disorganized way under the threat of the next test.
Writing Skills
Y N When my teachers assign papers, I feel so overwhelmed that I can't get started.
Y N I usually write my papers the night before they are due.
Y N I can't seem to organize my thoughts into a paper that makes sense.