Tutoring Intake Form

*Required Fields

*First Name:
*Last Name:
*Course or Subject:
Is this course primarily online? Yes No
What are you having difficulty with in this class?
*What days and times are you available to
meet with a tutor during the school week?
Other Comments:

*By checking this box, I agree to come to my tutoring sessions prepared with books, notes, syllabus, and other class materials. I also agree to be prompt to my appointments, and will give my tutor 24 hour notice if I cannot make a scheduled appointment.