• CBC Student Services - Counseling/Advising Office  

    Retention Reporting Form 


    Enter your name:  


    Enter the retention activity that you conducted:    
    Enter the date:  


    Enter the location of the activity
    (Example: V-119/V-130 Beeville):

    Enter the number of students present: 


    If you covered a class for an instructor, please enter the instructor's name: 
    Enter the course name: 

    Enter additional comments:   

    This information will be used for Coastal Bend College's monthly retention report. 

    Page revised on 10/28/2012