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Request for Tutorial Assistance

To request tutorial assistance, please fill out the information requested below and select the Submit button. Any fields marked with an asterisk (*) are required.

Full Name: *
Phone: *
Email Address:
Course:
Instructor:
I am: *



I am interested in:

Study Groups
Individual Tutoring

I could use support in (please check all that apply):

improving study habits writing
background for the course time management
motivation/concentration test anxiety
textbook reading math anxiety
English as a second language note-taking skills
computer anxiety course content

My major issue regarding this course is:

The specific tutor I'd like to work with, if any, is:

I was referred to the Academic Support Center by


*Tutoring Agreement
(If you have any questions, visit the Academic Support Center.)

I understand that I am responsible to be prepared (bring all necessary materials) and arrive punctually for my tutoring session. I agree to take initiative for my own learning and will notify the tutor and/or the Academic Support Center if I am unable to make my appointment. I agree to provide feedback on the tutoring session if asked. Instructors will be periodically notified of students who are working with peer tutors. There are limits to the amount of time a student may schedule tutoring.

   
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