tutoring activity plan sheet for ay2019 (spring...
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1 -0 2 Tutoring Activity Plan Sheet for AY2019 (Spring Semester)
Shin SUGIYAMA (Name of Project Leader) (Seal of Approval)
(For Tutor Student) (For Tutee Student)
(Affiliation)
(BC/MC/DC) (School Year)
(Department)
(Student ID)
(Affiliation)
(BC/MC/DC) (School Year)
(Department)
(Student ID)
(Full Name)
(Seal/Signature)
(Full Name)
(Tel) (Mobile)
(Tel) (Mobile)
e-mail e-mail
(Home Address)
(Signature)
(Hours in each month)
(Total Tutoring Hours)
Month
× Hours×Times
Total Hours
Details of Tutoring Activity (course name)
4 (M) 5 (M) 6 (M) 7 (M) 8 (M) 9 (M) (H) (H) (H) (H) (H) (H)
Example 1 -0 2
Tutoring Activity Plan Sheet for AY2019 (Spring Semester)
Shin SUGIYAMA (Name of Project Leader) (Seal of Approval)
(For Tutor Student) (For Tutee Student)
(Affiliation)
(�BC /MC/DC) 3
School of Science (School Year)
Physics (Department)
(Student ID) 01234567X
(Affiliation)
(�BC /MC/DC) 3
School of Law (School Year)
(Department)
(Student ID) 09876543X
(Full Name) Name FAMILY
signature
(Seal/Signature)
(Full Name) Taro MEIDAI
(Tel) (Mobile)
052-123-456X
090-1111-222X (Tel)
(Mobile) 052-987-654X
090-3333-444X
e-mail [email protected] e-mail [email protected]
(Address)
464-088X
EApartment#201-10Chikusa-ku, Nagoya
(Signature) 名大 太郎
(Hours in each month)
30
(Total Tutoring Hours)
Month
× Hours × Times
Total Hours
Details of Tutoring Activity (course name)
4 2 × 3 6 Study support for “Course name”
5 2 × 4 8 Study support for “Course name”
6 2 × 4 8 Study support for “Course name”
7 2 × 4 8 Study support for “Course name”
4 (M) 5 (M) 6 (M) 7 (M) 8 (M) 9 (M) 6 (H) 8 (H) 8 (H) 8 (H) (H) (H)
(1/ 2)
9 01 2 Tutoring Activity Report for AY2019 (Spring Semester)
Shin SUGIYAMA (Name of Project Leader) (Seal of Approval)
(For Tutor Student) (For Tutee Student)
(Affiliation)
(BC/MC/DC) (School Year)
(Department)
(Student ID)
(Affiliation)
(BC/MC/DC) (School Year)
(Department)
(Student ID)
(Full Name)
(Seal/Signature)
(Full Name)
(Tel) (Mobile)
(Tel) (Mobile)
e-mail e-mail
(Address)
(Signature)
*The following should be hand-written. Do not use pencil or correction fluid/tape. ( )
Date of tuition YYYY MM DD (Day)
Time
Hours
Total Hours
Details of Tutoring Activity
Tutee’s
Signature ( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
(2 / 2)
( ) Date of tuition YYYY MM DD (Day)
Time
Hours
Total Hours
Details of Tutoring Activity
Tutee’s
Signature ( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
Feedback from the Tutor on Tutor System
(Specify your notable contribution as a tutor to the Tutor System) (Specify problem faced as a tutor)
(Overall Comments for the Tutor System)
(Other Feedback)
(2 / 2)
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9 01 2 Tutoring Activity Report for AY2019 (Spring Semester)
Shin SUGIYAMA
(Name of Project Leader) (Seal of Approval)
(For Tutor Student) (For Tutee Student)
(Affiliation)
(�BC /MC/DC) 3
School of Science (School Year)
Physics (Department)
(Student ID) 01234567X
(Affiliation)
(�BC /MC/DC)3
School of Law (School Year)
(Department) (Student ID) 09876543X
(Full Name) Name FAMILY
signature
(Seal/Signature)
(Full Name) Taro MEIDAI
(Tel) (Mobile)
052-123-456X
090-1111-222X (Tel)
(Mobile) 052-987-654X
090-3333-444X
e-mail [email protected] e-mail [email protected]
(Address)
464-0888
EApartment#201-10Chikusa-ku, Nagoya
(Signature) 名大 太郎
*The following should be hand-written. Do not use pencil or correction fluid/tape. **The grand total hours of the semester must be a whole number.
( ) Date of tuition YYYY MM DD (Day)
Time
Hours
Total Hours
Details of Tutoring Activity
Tutee’s
Signature First tuition date should be at earliest April 19th
2019 4 19 (金) 13:00 15:00 2 2 Introduction 名大
2019 4 23 (火) 13:00 14:30 1.5 3.5 Study support for Course name 名大
2019 4 26 (金) 13:00 14:30 1.5 5 Course name study support, Homework 名大
2019 5 10 (金) 13:00 15:00 2 7 Course name study support, Homework 名大
2019 5 17 (金) 13:00 15:00 2 9 Course name study support, Homework 名大
2019 5 24 (金) 13:00 15:00 2 11 Course name study support, Homework 名大
2019 5 31 (金) 13:00 15:00 2 13 Course name study support, Homework 名大
2019 6 7 (金) 13:00 15:00 2 15 Course name study support, Homework 名大
2019 6 14 (金) 13:00 15:00 2 17 Course name study support, Homework 名大
2019 6 21 (金) 13:00 15:00 2 19 Course name study support, Homework 名大
2019 6 28 (金) 13:00 15:00 2 21 Course name study support, Homework 名大
2019 7 5 (金) 13:00 15:00 2 23 Course name study support, Homework 名大
2019 7 12 (金) 13:00 15:00 2 25 Course name study support, Homework 名大
2019 7 19 (金) 13:00 15:00 2 27 Course name study support, Homework 名大
2019 7 26 (金) 13:00 15:00 2 29** Final class preparation 名大
(2 / 2)
( ) Date of tuition YYYY MM DD (Day)
Time
Hours
Total Hours
Details of Tutoring Activity
Tutee’s
Signature ( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
Feedback from the Tutor on Tutor System
(Specify your notable contribution as a tutor to the Tutor System) (Specify problem faced as a tutor)
(Overall Comments for the Tutor System)
(Other Feedback)
�1/20 ��
(Full Name)
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(Full Name)
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Class cancelled : 1st Period,Wed. Nov.21
(Class Checklist for Tutor)
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