Tutorial Request Form (TRF)
NAME: ______
GRADE
(Circle One):9th/ 10th/ 11th/ 12thDATE: _____ / _____ / 20____
* MATH - SUBJECT: ________
QUESTION #1:
^^^^^^^^^^^^^^^______ (1, 3 or 5 pts)
Required Information:^
What I already know?^
What I have already tried?^
Important definitions?^
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* MATH - SUBJECT: ____________
QUESTION #2:
^^^^^^^^^^^^^^^______ (1, 3 or 5 pts)
Required Information:^
What I already know?^
What I have already tried?^
Important definitions?^
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TRF Rubric
* Based on Costa’s Levels of Questions………L1 = 1 pt/ L2 = 3 pts/ L3= 5 pts.
Question Level / Preparedness / Participation / Cornell Notes / Reflection(5 pts)
L3 questions
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(3 pts)
L2 questions / Student has all resources- textbook, Cornell Notes, materials, etc.
(10) / Student stays on topic at all times, contributes many questions/ideas, and is courteous at all times.
(10) / Notes on all presenters’ questions complete and contain many details.
(10) / Reflection is complete and thoughtful. 4 questions are answered.
(10)
(1 pt)
L1 questions / Student has some resources- textbook, Cornell Notes, materials, etc.
(7) / Student occasionally strays from topic, contributes few questions/ideas, and is courteous some of the time.
(7) / Notes on all presenters’ questions are complete.
(7)
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1 page little effort
(5) / Reflection is basic and answers 3 of the questions.
(7)
(0) pts.
No questions / Student has no resources- textbook, Cornell Notes, materials, etc.
(0) / Student is rarely on topic, does not contribute at all, is not courteous.
(0) / Notes on presenters’ questions are not complete or are limited.
(0) / Reflection is incomplete
or missing.
(0)
/ 10 / / 10 / / 10 / / 10 / / 10
Score: _____ / 50TUTOR: ______
MATH - TUTORIAL NOTES
Equations / Numerical ComputationsProcess Description / Written Steps
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Tutorial Reflection* Describe the process your group utilized in order to answer (1) of your TRF questions
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