Application to Request a Tutor


TUTOR REQUEST FORM


Date   
Semester 
Name 
Student I.D. # 
   
Local Address

Local Phone # 

Other Phone # 

 
Email  Major 
  Year: 
    Grad 
    Sr 
    Jr 
    Soph
    Fresh
Please answer the following questions  
In what Subject(s) do you need Tutoring in?
Course Name  Course #
Have You used this Service Before ? 
Yes    No
 
If yes, in what course?   
   
Please chcek one:  

I am Interested in Study Groups
I would like the names of tutors only

 
How did you learn of our service?

Advertising
Advisor
Athletic Department
Brochure
Coach
Friend
Instructor
Other     Please Specify

 
 
Note: Tutoring fees are negotiated between the student and the tutor and should be discussed before you begin your sessions. The Office of Academic Support Services recommends fees be in the range of $8 to $12 per hour.

 


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