(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
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11-12 11-12 11-12 11-12 11-12
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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
_________/_________
I
nstructions: To submit this form, download it, fill it out, and then click the Send Email button ------->
