Glendale Community College : Alumni Form

1. Tutor's Information:

Tutor's Last name:

Tutor's First name:

Tutor's ID:

2. Client's Information:

Client's Name:	Client's ID	Date
Time In	Time Out

3. Length of Session (Round up or down)

15 Minutes

30 Minutes

45 Minutes

60 Minutes

4. Subjects

Anthro	Biology	Chem	Ethnic	French	Health
History	Jour.	Korea	Library	Nursing	P.E
Russian	Spanish	Geology	Astro	Mass Communications	CABOT
Econ	Art	ASL	Chinese	Japan	Business
Socio	Theatre	Armen	Italian	Music	Other
Acct	Human	CS/IS	Speech	Geography	Soc.Sci
Psych	Philo.	Political

(1) No,Not at all (2) No,Not very well (3) Somewhat (4) Yes,Adequately (5) Yes,Very Well (6) N/A

5. Overall,did you address the student's needs in this tutoring session?

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6. Is the student now able to recognize areas in need of improvement?

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6

7. Is the student able to solve the errors for which he or she was referred?

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6

8. Will the student be able to compose future assignments independently?

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6

9. Can the student explain successful study habits and memory techniques?

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10. Can the student organize large assignments into manageable tasks?

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11. Has the student illustrated verbal or computational skills?

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6

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