(P:) Tutorial/forms posters brochures/FORM/request for Tutor M________ T________ S________ Entered______ 6/18
Please circle at least 4 hours when you are free to meet with your tutor
Monday Tuesday Wednesday Thursday Friday
8-9 8-9 8-9 8-9 8-9
9-10 9-10 9-10 9-10 9-10
10-11 10-11 10-11 10-11 10-11
11-12 11-12 11-12 11-12 11-12
12-1 12-1 12-1 12-1 12-1
1-2 1-2 1-2 1-2 1-2
2-3 2-3 2-3 2-3 2-3
3-4 3-4 3-4 3-4 3-4
4-5 4-5 4-5 4-5 4-5
5-6 5-6 5-6 5-6 5-6
Additional Info:
FOR OFFICE USE ONLY
Tutor:
Course:
Phone: Time:
Beginning Date: Day:
REQUEST FOR TUTOR
Name:_________________________ Date: __________ Student ID#:________________
Phone (home): _________________________ (cell): ____________________________
Address: ______________________________ City: _____________________________
State: ____________ Zip: ________________
***Once an appointment is made for you, an automatic email is sent to your
BCC Email letting you know the day and time of your weekly appointment.***
You must provide at least 4 hours of availability.
Course Title & Number
_________/_________
Send Email