Tutor Request Form

First Name:        A value is required.*      Last Name: A value is required. *

Enrollment Status: EOP ACE SSS CPM (CSTEP, LSAMP, ACKER) *

Counselor:          A value is required.*

The best way to contact me is through: Phone Email *

Email:                  A value is required.*      Phone:       

Major:                  A value is required.*      

Class:                Freshman Sophomore Junior Senior Graduate *

Course number and title requesting tutoring in:

*Please enter at least one course

Course #	Course Title	Instructor	Tutor Assigned
* A value is required.	* A value is required.	* A value is required.

 

Tutor Requested:       Course:

Tutoring Contract – Please read carefully and sign below:
I understand that once I am assigned a tutoring appointment, I must arrive on time and respect the time limit! I must come prepared with all textbooks and assignments. I must notify the CADS Tutorial Lab in advance if I cannot make a tutoring appointment. I understand that missed appointments will result in the loss of tutoring privileges.

Agreeing to the contract is necessary for request. I agree