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Application to Receive Tutoring
Full Name:
Michener Email:
Michener Student#:
Program & Year:
Address:
City/Province:
Postal Code:
Telephone #:
Please list the Michener course code(s) you would like tutoring in, or explain your difficulties:
Have you sought help from your instructor before applying for tutoring? Yes No
Please fill out in full, and return to: Student Success Network Room 500A or email: success@michener.ca