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Tutor Request Form

Have you tried the Help Room?

Before we can assign you a tutor you must try the help room for that course. If you find that it is not helping you, we can then assist you with additional options. If you are unable to try the help room please talk to Brittany Busby or complete this form and include reasons for not using the Help Room in the Comments section. Help rooms are available for Math, Physics, Chemistry, Writing/Reading, and ESL.

You may request up to 5 classes at one time.
You do not need to complete a separate form for each class.

Name:

Falcon ID:

 

Term:

Fall

J-Term

Spring

Summer

Local Contact Information:

Address: (include apartment or unit number)

City:

State:

Zip:

Phone: Cell:

Email:

Academic Information:

Major: Minor: GPA:

Class Status: If other, please specify:

Courses in which you would like tutoring:

 

Department

Course Number

Section Number

Instructor

Example

BIOL

100

01

Brad Mogen

1.

2.

3.

4.

5.

Please list ALL the times you are available to meet with a tutor for an hour session:

My top 3 times (day and time, e.g., Monday 3:30-4:30):

All my other available times:

Additional Comments:

Questions?  Call 715-425-3531 or e-mail tutoring@uwrf.edu   

 

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