Student Midway Check In Form - West Virginia Women Work

Student Name: *

First

Last

Date:

Coordinator: *

Demerits Accrued: *

Is the student in danger of demeriting out of the program? (5 or more demerits) *

Does the student have an improvement plan in place? *

submitted? on Has

Is student making progress on their improvement plan? *

More info on student not making progress on improvement plan: *

Why does the student not have an improvement plan in place? *

Is the student meeting independent study expectations? *

Why is the student not meeting independent study expectations? *

Is the student up to date on assignments? *

Is the student representative of WVWW core values? *

Has student received core value demerits? *

Explain why student doesn't represent WVWW core values: *

How many applications has the student submitted? *

Has the student completed their job shadow? *

Has the student had any interviews? *

List where the student has interviewed: *

Has the student been offered employment? *

Where was student offered employment: *

Did the student accept the employment offer? *

Why did the student not accept the employment offer? *

Has the employment been verfied? *

Please list any barriers the student is currently facing: *

Please list any resources provided to help student overcome the barriers listed above: *

Does the student understand where they are at progress wise and what they need to do to be able to complete the program? *

More info on student not understanding their progress in program: *

Any additional information about student at this time: