GGAC

Peer Tutoring Program

TUTORING SESSION:

I. Session Request Session #

To be completed by the tutor and approved by the program coordinator before the tutoring session

Session Requested by:

Sports Team the Individual is on:

Tutor’s Name:

Session Approved by:

DATE: (M/D/Y)

TIME:

LOCATION:

COURSE:

II. Session Completed

To be completed by the tutor and handed into the program coordinator after the tutoring session

DURATION: From: To:

I herby confirm that the tutoring session did indeed take place:

Tutor’s Signature:

Date: (M/D/Y)

Student Athlete’s Signature:

Date: (M/D/Y)

Program Coordinator’s Signature:

Date: (M/D/Y)

Will there be another session?

I. Session Request Session #

To be completed by the tutor and approved by the program coordinator before the tutoring session

Session Requested by:

Sports Team the Individual is on:

Tutor’s Name:

Session Approved by:

DATE: (M/D/Y)

TIME:

LOCATION:

COURSE:

II. Session Completed

To be completed by the tutor and handed into the program coordinator after the tutoring session

DURATION: From: To:

I herby confirm that the tutoring session did indeed take place:

Tutor’s Signature:

Date: (M/D/Y)

Student Athlete’s Signature:

Date: (M/D/Y)

Program Coordinator’s Signature:

Date: (M/D/Y)

Will there be another session?