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Peer Academic Support Services

TUTORING REQUEST FORM

To request a peer-tutor please do the following:

1.  Read the following contract.  Make sure you understand your obligation and responsibilities to this commitment.

Peer Tutoring Request Contract

I understand it is my responsibility to keep ALL tutoring appointments.  I agree to give the tutor 24 hours notice if I am going to be unable to keep an appointment.  If appointments are not kept consistently, I understand that the Peer Academic Support Services Office can discontinue tutoring services. When I stop using tutoring services, I understand that I must notify the office immediately.  I also agree that I will complete a tutoring survey, which will be provided to me by the office.

 2.   Fill out the following form if and only if you are willing to follow through with these expectations. Give the Peer Academic Support Services Office 7 days to fulfill your request.

Course:  
Current Grade:  
Professor:  
Your name:  
L-R ID#:  
Class:  
Campus Box or Local Address:  
Email: (LR email address only)  
Cell phone #:
Residence Hall Phone:
List times that you are available to meet with a tutor:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:


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