Student-Athlete's Name

Date

Tutor's Name

Sport

Time Met (Include duration)

Course

Did the student-athlete come prepared for the tutoring session?
Yes
No

If not, what should he/she be doing to be better prepared?

What topics were covered?

Upcoming Exams or Assignments Due?

Do you have any further concerns or suggestions?

Are you scheduled to meet again?
Yes
No

If yes, When?