INDIVIDUAL TUTOR REQUEST FORM

Please complete the following information. You will be assigned a tutor as quickly as possible. You may request a tutor but there is no guarantee that you will receive that person. If you have any questions, please call x7662 or find us in the lower level of the Administration Building. Also, it is advisable to check Office Hours for your subject.

NOTE: Tutoring must be done in a public location (ALC, resident lounges, Pine Room, library lobby, and common rooms)

Please include the phone number and e-mail where you can be reached! We attempt to use both methods to contact you.

Name:
Email:
Home / Dorm Phone:
Cell Phone:
Campus Box Number:
Course for which you are seeking a tutor:
Course Section Number:
Course Instructor: