Date of Appointment:     Appointment Time: AM PM

Length of Appointment (min./hr.):  

Location of Appointment:

Student's Name (First and Last):

Tutor Name (First and Last):  

Tutor Email Address (Complete):

Please check if the student was (a)...

1. No Show? Yes

    

2. Late Cancellation? Yes

    

   Explain:

    

   Note time of contact. AM PM Date

    

3. On Time? Yes No
   

    

   How Late? (minutes)

    

4. Did the student bring:

    

   Textbooks? Yes No
   

    

   Course Notes? Yes No
   

    

   Syllabi, disks, papers, etc.? Yes No

    

5. Please comment on this appointment and include all applicable information, i.e. upcoming assignments, reported grades, attitude, study skill needs and recommendations. You must hit "enter" at the end of each line in order to format (print) the report correctly.

   Subject/Course title being tutored?
   Example: Chemistry 101 or CHEM 101

   Begin comments here.

6. Next Appointment (date and time; if applicable):

Date of Next Appointment:   Time of Next Appointment: AM PM

If you have a particular question or concern, please contact Marcus Brown (847-467-4576).  Thank you.