I am sending this counseling note as a follow-up to our discussion in my office on 11-23-16. As we discussed several times, both in the office as well as in general classroom announcements, an 80% on course work must be achieved to successfully complete a course as outlined in the student handbook. As of the ending of the course your average in Anatomy and Physiology was below the required 80%. Unfortunately, as you know you will not be able to progress to level II until the Anatomy and Physiology class is completed. As we discussed you have several options to accomplish this which are outlined in the student handbook.