On Hold or Ending Match Report

Name of Tutor:

Name of Learner (s):

Reason for discontinuation of match:                        

OR

Reason for On-Hold Status:                                  

Beginning date:       End date:                         

Date of learner's final session:

Are there any other learners who will be continuing with the tutor?

Would you like a new match?

Is the learner interested in a new match?

Do you have materials that need to be returned?

Does the learner need a final assessment?

Can the tutor arrange for the assessment?

Contact number for learner:

Can we keep you on the mailing list?

If yes, do you have changes to your contact information?