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Student Request for Tutoring

 

Student Name:
Student ID#:
Home Phone:
Cell Phone:
Email Address:


How can we help you? Check all that apply.
explanation of information taught in class review of class notes
understanding class assignments review of homework
study skills  

 

Course: Time in class:
Course: Time in class:
Course: Time in class:
Course: Time in class:

I am registered with the following services:
TRIO/SSS Visions/Horizons Disability Services

What semester are you requesting tutoring services?
Fall | Spring | Summer

 

Place a check mark in all available time slots for tutoring:
(students visits must be outside of any scheduled class time)

 
Monday
Tuesday
Wednesday
Thursday
Friday
8:00AM
9:00AM
10:00AM
11:00AM
12:00PM
1:00PM
 
2:00PM
 
3:00PM
 
4:00PM
 

 

Student Responsibilities:

  • Students should arrive to tutoring sessions on time.
  • Students should arrive prepared with questions and all necessary materials. Homework assignments will NOT be completed during tutoring sessions.
  • Cell phones should be on silent or turned off during sessions.
  • If you are unable to attend a tutoring session, please contact the TASC office. This should not be a regular occurrence.
  • Students should inform the tutor and/or TASC office if they plan to withdraw from the course.
IMPORTANT
    • Tutors will not complete any type of work for students!
    • I understand that my tutoring services may be discontinued if:
    • (a) - I do not adhere to the responsibilities above.

    (b) - If I miss more than 2 appointments even with notification.

By submitting this request for tutoring, you certify that you have read and fully understand the information above. Any questions about this agreement should be directed to the Tutorial and Academic Success Center Director.