Directions The information you provide will help us best help you in your return to Penn State. Please be honest and check off all items that you identify with. This checklist will be discussed when you meet with the Student Success Coordinator. Name First Middle Last PSU ID # Email address Cell Phone Number Date Academics - Study Habits Difficulty managing time Unsure how to study for college courses Understand material, but I have trouble with exam Enrolled in too many courses/credits Do not take notes Concentration is easily broken Do not attend class regularly Trouble keeping up with assigned readings Course Content Unable to understand course content Difficulty writing papers Difficulty with math course(s) Difficulty with science course(s) Difficulty with courses in my major Uninterested in course topic(s) Problem with instructor Motivation I am not sure why I am in college I feel tired all of the time I am only here because of my parent(s) I spend too much time on entertainment I procrastinate when I have work to do My classes aren't as important as work/clubs I find it difficult to feel motivated Not sure about my major Personal/Social Concerns I have health concerns that interfere with my studies I have problems with my living situation I have family responsibilities (parents/children) I feel isolated, anxious, tired, depressed I am not adjusting well to Penn State or the area I suffered a traumatic event I have other private, personal concerns Do you feel there were conditions out of your control that negatively impacted your academic performance? If so, please explain below Three Goals In the spaces provided below, please list three goals for next semester and the steps you need to take to reach each goal. Goal #1 Goal #2 Goal #3 CAPTCHA Submit