Northwestern University Department of Athletics
Academic Services & Student Development


This form must be submitted within 24 hours of the session. Type your information in all fields that apply. Type your text information over "xx" in any field you need.

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




    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

  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.


Press to send your report or press to erase your answers and start over.

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