This is a sample of the written feedback professors receive from the center at the student's request.

To the student: Please fill out the top of this form before
your appointment and give it to the consultant. Thanks!
Student's name ____________________________
Date______ Time _______
Professor's name ___________________________
Department ___________ Course _________
Would you like us to notify your instructor of your visit? Yes ____ No ____
What do you need to work on today? _________________________________


--------------------------------------Students: Stop here!--------------------------------

To the consultant: Complete the following information, including the comment block, regarding your session with this student.


The student came to the Writing Center with:
____ Nothing ____ An assignment ____ An outline
____ Early draft ____ Mid-level draft ____ Journal entry
____ Application ____ Polished draft ____ Other:
_____ form, letter, etc. ____ Notes

The student and I worked on the following:

Global Writing Tasks Editing Tasks
Response to assignment ____ Word choice ____
Focusing thesis ____ Sentences ____
Paragraph structure ____ Grammar ____
Organization ____ Punctuation ____
Transitions ____ Spelling ____
Development ____ Documentation ____ Argumentation ____
Evidence ____ Other: _______________
Other: ____________________
Handouts provided:
______________________________________________

Comments:
________________________________________________________________
________________________________________________________________
________________________________________________________________

Consultant's name ______________________