Raven EMS Education Program Manual
Student Academic Advising and Counseling Form

Date:

Student Name:

Program Name:

Reason for Advising or Counseling:

Facts from investigation:

This student has been advised or counseled regarding the following:

Student comments:

Previous encounters (including related counseling and PIP):

Date Description Outcome

Student signature:

Faculty signature:

Change Log (3.85.500.SAAC)

DateAuthorDescription of ChangeCitations
2024-05-29Becker, T.Theron Jack BeckerAdded Student Change of Status Form, Counseling Form, and Application Form.(CoAEMSP, 2024)CoAEMSP. (2024). Resource library. Committee on Accreditation of EMS Programs. https://coaemsp.org/resource-library
2025-01-07Becker, T.Theron Jack BeckerMoved online from Adobe InDesign document.
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Raven EMS Education Manual - Table of Contents
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