• 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