Request Tutoring

Name

Phone Number

Hrs/Week

Contact Preference

Phone Call

Text

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