Bemidji State University



Name: ________________________________Major: ________________________________Phone: _________________________________BSU ID: _________________________Advisor: ________________________Challenges to being academically successful (Check all that apply) ? Academics? Attendance? Poor Study Habits? Time Management? Career / Major Decisions? Family Responsibility? Relationship(s)? Financial Obligations? Living Situation ? Procrastination? Mental Health? Physical Health? Other: _________________Brief description : ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Support plan to be academically successful (Check all that apply) ? Career Services? Counseling Center ? Disability Services? TRIO/SSS ? Academic Advising? Tutoring? Time Management Skills? Study Skills? Other: __________________Brief Description: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Accountability Plan. What measures will you make to assure you stick to this plan?___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________I agree to the above plan Student signature Date ................
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