Lenoir-Rhyne College
Center for Communication and Learning

Teacher Referral Form

(
Print a copy of the form and complete it with the student being referred to the Center.)

Student  _________________________

Referring Professor ____________________________

Course:  ________________    Date Referred:  ___________

Assignment  _____________________
Please attach assignment if possible or bring it to the session.

Reason for referral (please circle one or two of the following questions that we use to focus sessions):

  1. How can I make my main idea/purpose easier to understand?
  2. How can I make my argument more interesting or complex?
  3. How can I make my support more convincing?
  4. How can I make the order of my ideas more logical and/or easier to follow?
  5. How can I make the tone/voice more appropriate to my purpose and audience?
  6. As I practice my speech before you, are there any distracting behaviors that I should be aware of and try to eliminate (e.g., swaying, lack of eye contact, use of filler words, pauses, reading or talking too fast, unclear articulation, talking too softly, etc.)?
  7. How can I make my writing or speech more concise?
  8. How can I improve my grammar and punctuation?  Do you notice any patterns of error or problematic constructions that we can work on together?
  9. How can I improve my ability to proofread?  Can you give me some strategies to help me make the final version as clean as possible?
  10. Other:  

Peer Consultant's Record of Session

Date of Session  _____________    Time of Session  ___________

__________________________    Length of Session  _________
            Signature

Comments:

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