UniversityCollege
ACADEMIC INTERVENTIONS PROGRAM
South Wing 100 * Phone: 878-5451
(please use the tab key, or click on a field, to enter information)
Academic Intervention Program (AI)
The AI Program is designed to identify and assist those students who are having academic difficulty at any point in their academic career at Buffalo State College. By identifying these students early on, the AI staff can address their needs, thereby increasing the likelihood of their success. One of our goals is to assist faculty and staff in improving the motivation and academic performance of students in an effort to better BSC retention rates.
Faculty, through regular contact with students, are the first to see the results of students problems which can manifest itself through low test and quiz scores, failure to turn in assignments, poor class attendance, and poor class participation.
Faculty often does not have the time to get to the root of each student's problem. Therefore, if you suspect a problem with a student, please contact us so that we can meet with the student to help him or her to quickly resolve their issues before they escalate.
How the referral system works:
  1. Faculty refers students to the AI office.
  2. We contact the student for a consultation.
  3. We advise the student about ways to address their specific academic difficulties.
  4. Referrals to appropriate resources are made as needed.

Instructor Name: / Course Name (i.e. – BUS116, ECO101, etc.):
Instructor’s Office Location: / - Select One - Bacon HallBishop HallCaudell HallChase HallClassroom BuildingHouston GymKetchum HallRrockwell HallScience BuildingSouth WingTheater Arts BuildingTwin RiseUpton Hall / Room#:
Instructor E-mail: / @buffalostate.edu / Office Phone : 878-
Student Name / Would you like a follow-up report from us? Yes No
Student 1 / Reason: -Select One-Poor Class AttendancePoor Quiz/ Test PerformanceCompletion of AssignmentsQuality of Oral workQuality of Written workLack of Purpose/ MotivationHas student contacted you concerning performanceRecommend tutorial assistanceOther:
Student 2: / Reason: -Select One-Poor Class AttendancePoor Quiz/ Test PerformanceCompletion of AssignmentsQuality of Oral workQuality of Written workLack of Purpose/ MotivationHas student contacted you concerning performanceRecommend tutorial assistanceOther:
Student 3: / Reason: -Select One-Poor Class AttendancePoor Quiz/ Test PerformanceCompletion of AssignmentsQuality of Oral workQuality of Written workLack of Purpose/ MotivationHas student contacted you concerning performanceRecommend tutorial assistanceOther:
Student 4: / Reason: -Select One-Poor Class AttendancePoor Quiz/ Test PerformanceCompletion of AssignmentsQuality of Oral workQuality of Written workLack of Purpose/ MotivationHas student contacted you concerning performanceRecommend tutorial assistanceOther:
Student 5: / Reason: -Select One-Poor Class AttendancePoor Quiz/ Test PerformanceCompletion of AssignmentsQuality of Oral workQuality of Written workLack of Purpose/ MotivationHas student contacted you concerning performanceRecommend tutorial assistanceOther:
Student 6: / Reason: -Select One-Poor Class AttendancePoor Quiz/ Test PerformanceCompletion of AssignmentsQuality of Oral workQuality of Written workLack of Purpose/ MotivationHas student contacted you concerning performanceRecommend tutorial assistanceOther:
Student 7: / Reason: -Select One-Poor Class AttendancePoor Quiz/ Test PerformanceCompletion of AssignmentsQuality of Oral workQuality of Written workLack of Purpose/ MotivationHas student contacted you concerning performanceRecommend tutorial assistanceOther:
Student 8: / Reason: -Select One-Poor Class AttendancePoor Quiz/ Test PerformanceCompletion of AssignmentsQuality of Oral workQuality of Written workLack of Purpose/ MotivationHas student contacted you concerning performanceRecommend tutorial assistanceOther:
Student 9: / Reason: -Select One-Poor Class AttendancePoor Quiz/ Test PerformanceCompletion of AssignmentsQuality of Oral workQuality of Written workLack of Purpose/ MotivationHas student contacted you concerning performanceRecommend tutorial assistanceOther:
Student 10: / Reason: -Select One-Poor Class AttendancePoor Quiz/ Test PerformanceCompletion of AssignmentsQuality of Oral workQuality of Written workLack of Purpose/ MotivationHas student contacted you concerning performanceRecommend tutorial assistanceOther:
Your Comments:

Please return this form to the Academic Interventions Office in South Wing 100 or via email to: and, if you wish, save a copy for your files.