The RTA Form is to be used at anytime during the academic year, or, in "real time" that the situation has occurred or is occuring. Use of this form will initiate an immediate response/contact by Michael Verhagen, Senior DUS Programs Coordinator, or a designee to work with the student in addressing emerging situations. Please be as detailed as possible when completing this form. You may use this form to alert me to any concerns you may have (attendance, change in attitude, grades, etc...). This will enable me to predict needed resources and referrals. You will be provided a summary of action taken.