Appendix D Initial Admission and Retention Committee PROFESSIONAL GROWTH PLAN Date of Referral: Name: ID#: Level of Weakness: (Temporary Short-Term Moderate Severe) – Referral Source: Date Discussed Notification of Student by Referral Source: CANDIDATE EXPECTATIONS: Identified Weaknesses: Prescribed Activities: Anticipated Completion Date: Or The Committee agrees the candidate should proceed in the program with no further intervention. Candidate refuses to work with the Initial Admission and Retention Committee. Candidate will be referred to Dean of College of Education for action. Candidate agrees to work with the Admission and Retention Committee to see that this Professional Growth Plan is completed and carried out in a professional and scholarly manner. Candidate also agrees to consult with the indicated referral sources on this Professional Growth Plan as required. Candidate Date Referral Source Date Committee (Co-Chair) Date
Initial Admission and Retention Committee PROFESSIONAL GROWTH PLAN Appendix D Date of Referral: Name: ID#: Level of Weakness: (Temporary Short-Term Moderate – Severe) Referral Source: Date Discussed Notification of Student by Referral Source: CANDIDATE EXPECTATIONS: Identified Weaknesses: Prescribed Activities: Anticipated Completion Date: Or The Committee agrees the candidate should proceed in the program with no further intervention. Candidate refuses to work with the Initial Admission and Retention Committee. Candidate will be referred to Dean of College of Education for action. Candidate agrees to work with the Admission and Retention Committee to see that this Professional Growth Plan is completed and carried out in a professional and scholarly manner. Candidate also agrees to consult with the indicated referral sources on this Professional Growth Plan as required. Candidate Date Referral Source Date Committee (Co-Chair) Date