Intake Form

ESOL LANGUAGE & WRITING ONLINE LAB REFERRAL FORM (Intake Form)

DIRECTIONS TO FACULTY
1. Please fill out this form by indicating student needs. Make sure you also indicate on the sign-up sheet what the student needs to work on.

2. Ask the student to “bring” the following to the online lab: a sample from class writing with professor’s feedback; e-reading materials or any other materials that the student needs help with.

3. In this initial intake, you can write about student needs in more detail. We will keep this intake form on file so the instructors/tutors can look at it when needed.
Student's Name and EMPL ID:blanks Number of sessions: (1-6) :blanks
Date referred: blanks Professor: blank Class: blank
I. LANGUAGE/GRAMMAR

Verb Tense SS (Sentence Structure)FragmentsCoordination and SubordinationArticlesParts of SpeechActive/Passive Voice SVO word orderRun-on SentenceConditional SentencesPrepositionsS-VOther
II. COMPOSING

Writing strategies: brainstorming, outliningParagraph unity (coherence and cohesion)Essay elementsOther
III. READING

Main idea and supportVocabulary in contextGenre typesExtra work on reading comprehension using reading software.Making inferencesText organization (how ideas are organised in texts)Other
IV. FEEDBACK TO THE INSTRUCTOR (will be sent once the session cycle has been completed)
ESOL/English Department LGA/Created SP 09 6th revision/F-2020
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ESOL LANGUAGE & WRITING ONLINE LAB REFERRAL FORM (Intake Form)