Cuyamaca Scholars Mentor Appointment Request Form
Please fill and submit this form to make an appointment with the Cuyamaca Scholars Mentor, Michael.

All information taken from appointments will not be shared outside of the Cuyamaca Scholars and Cuyamaca Tutoring programs.

We will send you a confirmation email when we have made you an appointment. Thank you.
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Email *
Name
Are you a ...?
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Student ID Number- if you have one
Phone Number
Preferred method to be contacted
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Type of Appointment
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What would you like to talk to the mentor about?
Monday Appointment Times- Please select all times that work for you. We will give you the first available appointment.
Tuesday Appointment Times- Please select all times that work for you. We will give you the first available appointment.
Wednesday Appointment Times- Please select all times that work for you. We will give you the first available appointment.
Thursday Appointment Times- Please select all times that work for you. We will give you the first available appointment.
What day and time would you prefer to work with mentor? If the times above do not work for you, please let us know which day and time you would like to meet with the mentor? 
Is there anything else that you want us to know or you have questions about?
A copy of your responses will be emailed to the address you provided.
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