Student Retention Referral Form

This form is for staff only.

For more information, contact the Retention Support Team: retentionsupport@cardiffmet.ac.uk

When to complete this form

This form is for academic engagement concerns, or where a student has expressed a wish to withdraw only. We expect 3 separate attempts to communicate with the student before referring to the Retention Team.

If you believe a student is at risk, complete a Cause for Concern.

If they are in need of wellbeing support, refer them to Disability, Wellbeing and Counselling support.

If they are in need of financial support: financeadvice@cardiffmet.ac.uk

If you are a student wishing to refer yourself for support, please complete the seeking support form.

Your details

Your name (required)

First Name

Last Name

I am (please tick all that apply)

Your email address (required)

Your department (required)

Student details

Student name (required)

First Name

Last Name

Student number (if known)

Course (required)

School (required)

Year of study (required)

Student status (required)

Home

International

Has the student stated an intention to withdraw from their course? (required)

Yes

Please give any additional information about their intention to withdraw (required)

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Communication history

We expect 3 separate attempts to communicate with the student before referring to the Retention Team.

How many times have you attempted to contact the student? (required)

When was the last contact attempt made? (required)

Additional information

Student Retention Referral Form

This form will be submitted anonymously

When to complete this form

Your details

Student details

Communication history