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LEARNING ASSISTANT REPORT FORM
TUTOR TUTOR'S EMAIL   DATE
STUDENT-ATHLETE      
  START TIME:
SPORT   END TIME:
  NO SHOW
COURSE    
  NO CONTACT

Please check all the boxes that apply (elaborate in FEEDBACK / CONCERNS section):

YES.
NO
 
Student responds to email correspondence and phone calls.
Student was punctual in attending this tutor session.
Student came prepared to this session.
Student has completed readings prior to this session.
Student brought class notes to this session.
Student brought assignments to this session.
Student was attentive during this session.
For essays:  
What Essay# is the student working on?:
Number of rough drafts completed for tutoring session
     
How would you describe the overall progress of this student:
 
Good, no concerns
 
Behind, but catching up
 
Behind and unconcerned
 
Tutor Feedback / Concerns: Please be specific: cite chapters, concepts, assignments, as well as any academic or behavioral problems and any missing materials, etc.)



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