Individual Tutoring Request Form

The Division of Athletics provides individual tutoring appointments for:

BIO 129, 130, 200, 201; CHE 101,102, 201, 202; ENG 101, 102, 201; MTH 121, 122, 131, 141, 142, 241, 242; PHY 101, 102, 107, 108; ULC 147, 148; Statistics: CEP 207; GLY 211; PSY 207; SOC 294; SSC 225; STA 119

Date:

Student Information
Student Name:
Sport:
Email Address:
Phone:

Course Information
Name & Number (ex. UGC 111):
Course Instructor:
Meeting Days & Times (M/W/F 8:00am-8:50am):

Steps Required to get a Tutor

I am learning the class material by using the following study strategies:

I emailed or talked to my professor on (if 2 days pass with your professor not replying to your email, you may then submit your application):

I told my professor I need a tutor because:

My professor suggested I (if you emailed your professor, please insert their response):

I met with my Academic Advisor to talk about needing a tutor on:

I told them I think I need a tutor because:

My Academic Advisor gave me the following advice:

I attend class regularly: Yes No

My athletic travel schedule has me missing class: Never Rarely Occasionally Quite Often

Tutor Appointment

I would like to meet with a tutor: 2 times per week Once a week

Tutoring Appointment Cancellation Policy

If a session needs to be canceled, you must contact your tutor 24 hours ahead of time by email, or 4 hours ahead of time by phone to avoid inconveniencing your tutor, and causing a no-show report to be generated. Tutoring services will be suspended after 3 no-show reports.

Requesting a Different Tutor Policy

In order to request a new tutor, you must speak to the Tutorial Coordinator or Tutorial Coordinating Assistant. You will be asked if you have been following the Preparing for Tutoring Appointments directives and for specific reasons for needing a new tutor. You will also be responsible for contacting your old tutor to tell them that their services are no longer needed.

Comments:

Statement of Understanding

I understand that, by being assigned a tutor for the course(s) requested, I am agreeing to meet with the tutor on an agreed upon schedule or as determined by my academic advisor. I have been advised of my responsibilities and I understand that failure to meet with the tutor can lead to the discontinuation of my tutoring services.

I Agree