Washburn University Writing Center
                   Morgan 257, 231-1010, ext. 1441
                   Henderson 311-L, 231-1010, ext. 1246

                           REFERRAL FORM

  To:   Roy A. Sheldon, Writing Center Coordinator

  From: __________________________________________

  Date: __________________________________________

  Subject: Referral of _______________________________, a student in

            _______________________, to Writing Center
            (course title & number)

      I am referring this student to the Writing Center for help with
   the following:

I. Process

____ Inventing techniques; choosing a topic:_______________________________

     ______________________________________________________________________

____ Preliminary discussing & drafting:____________________________________

     ______________________________________________________________________

____ Revising:_____________________________________________________________

     ______________________________________________________________________

II. Product

____ Focusing:_____________________________________________________________

     ______________________________________________________________________

____ Developing Ideas:_____________________________________________________

     ______________________________________________________________________

____ Paragraphing: ________________________________________________________

     ______________________________________________________________________

____ Detailing specifics:___________________________________________________

    _______________________________________________________________________

III. Editing

____ Sentence structure:___________________________________________________

     ______________________________________________________________________

____ Diction:______________________________________________________________

     ______________________________________________________________________

____ Usage:________________________________________________________________

     ______________________________________________________________________

____ Mechanics:____________________________________________________________

     ______________________________________________________________________

If you would like the student to have help in more than one area, please
let us know your first, second, etc. priorities. Please ask the student to
bring a writing sample to the Center.