Tutor Request
Please complete one form for each course requested.
Your Name *
Please include your first and last name
Your answer
Your MTC Username *
Example: ricek9999
Your answer
Your Cell Phone Number *
This will be the primary number used to contact you; enter 0 if you don't own a cell phone
Your answer
Other Phone Number *
If applicable; if not, enter 0
Your answer
Your Home Address
Your answer
Your MTC Advisor's Name *
Your answer
Course Number *
Examples: OIS 1240, ENG 0990, MTH 1015, etc. (see class schedule if uncertain)
Your answer
Course Title *
Examples: Computer Apps I, Prep Coll. Writing II, Basic Algebra, etc. (see class schedule if uncertain)
Your answer
Days/Times Class Meets *
Example: M/W 8-10 am
Your answer
Course Instructor's Name *
The SRC will send a copy of this request to your instructor
Your answer
Just like you, our tutors have busy schedules. For best results, please list ALL times during the week that you ARE available to meet with a tutor. *
Example: Monday 11 am-4 pm and 6-8pm, Tuesday 8-11 am and 2-7 pm, Friday Noon- 2pm
Your answer
Comments, concerns, or questions?
Your answer
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