CATS Tutor Request Form

Name Name * First Last
School Email *
Preferred Phone Number Preferred Phone Number * - ### - ### ####
Is texting OK? *

Is texting OK? Yes No
Are you able to come to campus to receive tutoring? *

Are you able to come to campus to receive tutoring? Yes No
If unable to come to campus, what is your time zone?

If unable to come to campus, what is your time zone? Central East Coast Mountain West Coast Other - Specify Other - Specify
Course Information

Please give detailed information about the course(s) for which you are requesting a tutor.
Course 1 (Course Number and Name) *
Instructor's name for Course 1 *
(Optional) Are there other courses that you would like tutoring in?