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Reason for Referral: check all that apply.
Failed Final Exam
Failed Midterm Exam
Limited or no Class Participation
No Course Textbook/Supplies
Poor Academic Performance
Poor Time Management
Behavior Issues Explanation
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COCHRAN: 1100 Second Street, SE, Cochran, GA 31014 - 478.934.6221
EASTMAN: Aviation Campus of Middle Georgia College, 71 Airport Road, Eastman, GA 31023 - 478-374-6980
DUBLIN: 1900 Bellevue Road, Dublin, GA 31021 - 478-275-6643