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Tutoring Application 2024-2025
Application to Receive Tutoring Services
Name: *
Today's date *
MM
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DD
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YYYY
Semester requesting tutoring: *
What is your NMC student ID? *
What is your NMC Email Address?: *
What is your Phone number?:
Gender Identification: *
Preferred Pronouns:
Requesting Tutoring for which class(es)?: *
What are your Instructor's Name?: *
Have you discussed these concerns with your instructor? *
What is your major?: *
How did you find out about us?: *
Did you receive tutoring last semester? *
How would you like your tutoring? *
Ethnicity (check all that apply) *
Required
Are you a U.S. Citizen? *
Are you currently employed?
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Demographics (check all that apply) *
Required
How are you paying for your NMC classes? (Mark all that apply) *
Required
What is your academic Goal *
Do you plan to transfer to another institution *
Authorization for Release of Information: I understand that the Tutorial Program Manager will have access to my NMC transcripts, grades, academic progress, attendance, and placement scores to evaluate what services may be necessary. I understand that the Tutorial Program Manager may discuss any academic problems that I have with my tutor and/or instructor in order to improve my tutorial experience. I also understand that my status in the program can be terminated after 3 unexcused absences. *
Required
Please Give us your availability for Tutoring. We are available for tutoring on Monday through Thursday 8:00am to 5:00pm, and evenings via zoom. Give us as much time as possible to be able to accommodate your schedule and our Tutor's schedules as well. Thank you. *
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