You must have JavaScript enabled to use this form. Request Tutoring Name Phone Number Email Hrs/Week Contact Preference Phone Call Text Email SSS Adviser Name SSS Adviser Email Date Requested Course(s) to be tutored Instructor(s) Specific Areas of Concern Student Schedule Monday Tuesday Wednesday Thursday Friday Saturday Sunday I am to come prepared for each tutoring session. This includes: attending classes, completing reading assignments and homework, and arriving at tutoring sessions on time and with specific questions on material I do not understand. Failure to attend weekly tutoring sessions that have been set aside for me (no-show) will result in the following action: First unexcused absence: A warning will be given but I will be able to schedule another tutoring appointment. Second undexcused absence: A final warning will be given and my tutor will be reassigned. If I cancel two or more tutoring sessions without notifying my tutor several hours in advance, my tutor will be reassigned to others who may be waiting. If I am not able to attend a session due to an illness or emergency, I will contact my tutor as soon as possible to reschedule our session.* I will notify Student Support Services if I should drop the course for which I am being tutored or if I no longer need tutoring services.* By clicking this checkbox, I agree to all the above statements in regards to my tutoring services. Full Name Today's Date Leave this field blank
