SSS Tutor Request Form
1
Personal and Course Information
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2
Academic Integrity Agreement
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3
Availability
SSS Tutor Request Form
Contact Information
Name
Name
*
First
Last
Preferred Email
*
(Optional) Phone Number
(Optional) Phone Number
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-
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Texting?
Texting?
Yes
No
Course Information
Course Number (ex: MATH 110, ENG 201)
*
Course Instructor
*
Are there any other courses that you'd like help with?
*
Are there any other courses that you'd like help with?
No
Yes
2nd Course Number (ex: MATH 110, ENG 201)
*
2nd Course Instructor
*
Are there any other courses that you'd like help with?
*
Are there any other courses that you'd like help with?
No
Yes
If you would like help in other courses, please list the course number and instructor below.
*