Tutoring Request Form

Please fill out the form to request tutoring:

Indicates all required fields
Student ID:
Your College-Wide ID. Need Help?
First Name:
Last Name:
Email:
We respect your privacy.
Is this for an Online Class:

Course Name:
Instructor:
Inform my instructor:  The Academic Support Center may inform my instructor that I have requested tutoring for his/her class.
Survey:  I agree to complete an online evaluation of tutoring services. This evaluation will aid Academic Support in improving our services to better serve students.
What grade do you wish to receive in your course?:
Are you a visual, auditory or kinesthetic (learn by doing) learner?
What do you wish to gain from attending tutoring sessions?

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