UNMC

Tutorial Services - Weekly Summary

Date: 11/18/2017

Tutor's Name:

Email Address: A copy of this form will be emailed to you upon submission.

Reporting Period

Start Date:
Date Picker
End Date:
Date Picker

Number of students tutored:

Number of total hours:

Signature (Type your name):

Please print off the corresponding tutorial sign-in sheet.

Campus/Coordinator:

Type the text from the image into the space below.

Form last updated 08/24/17

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