Working Agreement

Completed By - tutor/mentor name + student name if present when form is completed:
Student Name:
University:
Course:
Type of Support:
Date of completed:
Number of Hours Available:
For period:	to
Usual meeting place
Usual meeting time(s)
Research- examples/suggestions: academic reading, extracting relevant information from texts	In detail Proposed Study Skills Intervention: Proposed Timescale:
Note-taking - examples/suggestions: in lectures, from texts, for revision	In detail Proposed Study Skills Intervention: Proposed Timescale:
Composition - examples/suggestions: including essay writing, dissertation writing, report writing	In detail Proposed Study Skills Intervention: Proposed Timescale:
Editing - examples/suggestions: including proof reading (identifying errors), amending written work:	In detail Proposed Study Skills Intervention: Proposed Timescale:
Oral language - examples/suggestions: including contribution in tutorials and seminars, formal presentations, clinical and practical examinations	In detail Proposed Study Skills Intervention: Proposed Timescale:
Time and information management - examples/suggestions: including meeting deadlines, planning study time, organising notes and files	In detail Proposed Study Skills Intervention: Proposed Timescale:
Other 1: - please specify:	In detail Proposed Study Skills Intervention: Proposed Timescale:
Other 2: - please specify:	In detail Proposed Study Skills Intervention: Proposed Timescale:
Emotional Support Required
Anxiety Levels
Confidence
Other comments
Tutor/Mentor Email Address - so we can email the results of your form back to you for your records:

N.B. On clicking Submit you will be taken to a page (Form Confirmation) confirming the details typed into the form. This can be printed from your Browser by choosing the Print or copied into a word processor e.g. Word for you records - Ctrl A (select all), Ctrl C (copy), open e.g. Word and Ctrl V (paste).

Working Agreement...