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Tutor Encounter Form
Office of Academic Support & Counseling (OASC)
Tutor Encounter Form
Please note:
Completion of form is required for compensation.
*
Name
Class
*
Name of Tutoree
Class
*
Date of Tutorial Session
*
Student Email
Courses
1st Year
2nd Year
Histology
Endo
MCFM
NSHB
Anatomy
Repro
Dis Mech
Cardio Med
CV Phys
Pulmonary
Prev Med
Micro/Infec Dis
Pharm
Parasitology
Renal
GI/Liver
Hematology
Musculoskeletal
Strengths: Where improvement needed:
Recommendations for Student?
Do you confirm ?
Confirm
Date: Wednesday, May 22, 2013