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Name:
Class:

Student's Name:
Sport
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Date:
Scheduled start time:
Scheduled end time:
Actual start time:
Actual end time:

Was the student prepared for his session (textbook(s), notes, materials, etc.)? :

Are there any recent grades to report? (Please provide course # along with assignment and grade received):

What was the focus of this session? Please include details about everything that was covered: topics, chapters, projects, etc..:

What study skill (note taking, listening skills, time management, etc...) did you implement in your session? How?:

Discuss the general progress of this student. (Attitude, motivation, participation in class/mentoring, etc...):

Explain any concerns you have about the student. (Academic, personal, emotional, physical, etc...):

Please list all upcoming assignments, exams, papers, or projects. (Include course # and due dates):



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