Learning & Writing Center

Supplemental Instruction Program

Pre-Observation Form

SI Leader: Click here to enter text. Date: Click here to enter a date.
The purpose of this pre-observation form is to ensure that the observer understands the objectives and
methods intended for the SI session. Please make sure you submit this form 1 day prior to the scheduled
observation date.

What are your specific learning objectives for this session?
Click here to enter text.

Is there anything in particular that you would like the observer to focus on during the session?
Click here to enter text.

Do you anticipate any particular challenges in this session?
Click here to enter text.

Logistical considerations:
a. Where should the observer sit to avoid disrupting class?
Click here to enter text.

b. Please provide at least two possible options for feedback session? (Its recommended
to meet within 2 days)

OPTION1: DATE: Click here to enter a date. TIME: Click here to enter text.

OPTION 2: DATE: Click here to enter a date. TIME: Click here to enter text.

Do you have any concerns about your sessions that you would like the observer to pay
particular attention to? Click here to enter text.