Tutor Name (First Last):
Shadowing Tutor (First Last):
Date Of Session:
Tutee Name (First Last):
Grade Level:
K
1
2
3
4
5
6
7
8
9
10
11
12
Parent Email:
Location:
Nichols Library
Alive Center
95th Street Library
Other
Please Specify:
Session Length (In Minutes):
Subject:
Math
Science
Social Studies
English
If Other Subject, Please Specify:
What did you work on? What did the student do well? What did the student have trouble with?
What are some suggested steps until the next tutoring session? Any suggested homework?