Eastfield College – TRIO/Student Support Services
Exit Report

If this EXIT is due to graduation, please remember to complete an Application for Graduation
with your TRIO/SSS Advisor or access the form online @ http://www.efc.dcccd.edu/ari/graduation.htm

 

       
Fall Spring Summer I Summer II
Date (mm/dd/year) Name (max 35 characters)
ID#
Last semester @ Eastfield College
       
(A/C) and Phone # Alternane (A/C) and Phone #
Email address (max 55 characters)
     
 
Reason for Exit:
Academic Performance (e.g. academic suspension or dismissal, poor grades)
Employment Company Job Title
Financial Problems      
Graduated Degree Earned
Date
Health Issues
Personal Matters
Transferring Name of School
     
If you would like to elaborate on your reason for leaving please do in the box on the right:
   
What services did you receive from TRIO/SSS?
(check all that apply)


Financial Aid Assistance

Scholarship Information

Transfer Assistance

Tutoring
 
Information prepared by S Porter

You may also print this form and send to:
Eastfield College
3737 Motley Drive
Mesquite, Texas 75150
Attention: TRIO Student Support Services (C237)