Tutor Request Form Spring 2021
Email address *
First Name *
Last Name *
In what class(es) would you like tutoring? Please indicate the code, not the tile, e.g. BIOL 252 *
Instructor's name
Will you need weekly tutoring?
Clear selection
What are the times you will mostly likely be able to attend? (Check all the times you think you will available. We will contact you closer to when Tutoring starts.)
7am
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Have you used ASC tutoring before?
Clear selection
If you answered yes, who was/were your tutor(s) and would you like to have the same tutor(s) if they are available?
Are you a student with a disability who is requesting accommodations for tutoring? (In order to receive accommodations you MUST be registered with the Student Disability Services (SDS) office.)
Clear selection
If you answered Yes to the previous question, please let us know what kind of accommodations you need (for example, an ASL interpreter)
Is there anything else you would like us to know regarding your tutoring needs?
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of UMBC. Report Abuse