JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
LRC Service Request Form
If you are interested in having an LRC service such as; Academic Skills, Supplemental Instruction, a workshop or review session (concept, exam, etc.) for your course. Please fill out the form below.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Faculty/Staff Name
*
Your answer
Term
*
Summer 2022
Fall 2022
Winter 2023
Spring 2023
Course
*
Your answer
Section
*
If you are requesting services for multiple sections, please indicate each individual section.
Your answer
Service Location
*
Subject Tutoring
Writing Center
Academic Skills
Supplemental Instruction
Option 1
Clear selection
Student Recommendations
If there is a student(s) that did well in your course that you feel would make a good Tutor, Learning Strategist, or SI leader, please provide their name and Bronco ID below.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
