Rutgers Academic Support Services for Student-Athletes

APPOINTMENT CANCELLATION FORM

TUTOR: DATE:
TUTOR'S EMAIL:  
  SCHEDULED START TIME:
STUDENT-ATHLETE: SCHEDULED END TIME:
 
   
COURSE:  
GROUP SESSION? YES NO

Please check all the boxes that apply (elaborate in FEEDBACK / CONCERNS section):

Cancelled by student
When were you notified? Yes No
Cancelled by advisor
When were you notified? Yes No
Other
     
  Please Explain:      
 
 
Tutor Feedback / Concerns: