Attached Tutor Activities Report Form

THIS FORM SHOULD ONLY BE FILLED OUT BY TUTORS WHO ARE ATTACHED TO A SPECIFIC SECTION OF A MATH, STATS, or DCS course. If, instead, you provided remote support via a private appointment using Zoom then you should complete the REMOTE tutor report form. Those wishing to fill out a tutoring report for work with a private tutee should complete the Private Tutoring Report Form.

Pay Period End Date*
Please make sure you have selected the correct dates!
Attached Tutor's Name*
First Last
Tutor's Email Address*
Course & Section*
Did you meet for private appointments with any students or small groups of students?*
- Yes
- No
Individual or Small Group Scheduled Tutoring Session(s) for 1-3 Students*
Please record all individual (or small group) tutoring sessions below. Be sure to provide names for each student you met with and briefly describe the material covered, the duration of the meeting, and any concerns about progress. Click the "+" button to add an additional row for each tutoring session. ROUND THE DURATION OF THE TUTORING SESSION TO THE NEAREST 0.25 HRS.
Date of Session (mm/dd/yy) Name of Student(s) (First & Last) Duration of Session (hrs) Topic Comments/Concerns (optional)
ALL Other Tutoring Activities*
Please list all class visits, attached tutor meetings, meetings with the associated professor, drop-in math workshop shifts, drop-in shifts where you sub for others, and prep time. Click the "+" button to add an additional row for each activity tutoring session. ROUND THE DURATION OF THE ACTIVITY TO THE NEAREST 0.25 HRS. Keep in mind that if you attend an 80 minute class this must be recorded as 1.25 hrs on your time sheet.
Date of Activity (mm/dd/yy) Duration (in hrs) Type of Activity
Total Number of Hours (rounded to the nearest 0.25 hour)*
Today's Date
MM slash DD slash YYYY
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Date of Session (mm/dd/yy)	Name of Student(s) (First & Last)	Duration of Session (hrs)	Topic	Comments/Concerns (optional)

Date of Activity (mm/dd/yy)	Duration (in hrs)	Type of Activity