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Student Learning Center Tutor Request Form

Available During Fall and Spring Semesters

Please fill out the form completely.

Student Name:
Date:
E-mail:
Local Phone:
Cell Phone:
Class:
Other Program:
Course Number:
Section Number:
Course Title:
Instructor:
SLC Hours
M&R 9am-5pm, T&W 9am-9pm F 9am-2pm
Days and Times You Are Available: (In order to improve the chances of matching you up with a tutor, please be sure to give your most unrestricted availablity.)
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
What would you like to work on with the tutor? Would you like to set up a one time appointment or a weekly appointment?

 

 

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