SECTION IV. STUDENT REMEDIATION AGREEMENT The student acknowledges receipt of the remediation plan and understands the identified performance deficiency, required remediation activities, expected outcomes, and reassessment process. The student's signature acknowledges receipt and understanding of the remediation plan. The signature does not necessarily indicate agreement with the finding or decision.
Student Name: ___________________________________________
Student Signature: ________________________________________
Date: ___________________________________________________
SECTION V. FACULTY REMEDIATION AUTHORIZATION The faculty member(s) signing below confirm that:
1. The student's performance concern has been documented. 2. The remediation requirement is based upon established Program requirements, assessment data, and/or professional expectations. 3. The remediation plan identifies measurable goals and expected outcomes. 4. The student has been informed of the remediation requirements. 5. Appropriate documentation will be maintained in the student's confidential educational record. 6. The student's progress and remediation outcome will be evaluated according to established Program procedures.
Responsible Faculty Member Name:
Title: ___________________________________________________
Signature: _______________________________________________
Date: ___________________________________________________
Additional Faculty/Program Personnel, if Applicable
Name/Title: ______________________________________________
Signature: _______________________________________________
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