Tutor Request Form


Full Name

SID#

Local Address

City

     State

Phone

  E-mail

Major

     Class 


List of courses in which you need tutorial assistance

Course/Section Number  Instructor Time/Days

Available Tutoring Times

Days Available Times
Monday
Tuesday
Wednesday
Thursday
Friday


Before Sending This Form

STEP 1:  Review this form for accuracy and make sure all fields are complete.
STEP 2:  Press the SEND button to submit the form.
STEP 3:  Press YES/OK on the submission pop-up window.
   (If your browser is not configured to send email  you will receive an error.)
STEP 4:  Press the DONE button.


Tutor Request Form. Copyright © 1999 [Academic Initiatives For Mentoring Students]. All rights reserved. Revised: October 18, 2004
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