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Physics Peer Tutoring Sign-up Form
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General Information
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Student's E-mail
*
Your answer
Phone Number
*
(ex. 111-111-1111)
Your answer
Academic Status
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Freshman
Sophomore
Junior
Senior
Major
*
Your answer
Course Instructor
*
(Last Name, First Name -- ex. Sears, John)
Your answer
Course Name
*
(Ex. Intro to PHYS)
Your answer
Course ID and Number
*
(Ex. PHYS 1151)
Your answer
Scheduling Information
When do you want to schedule your appointment? Please enter the date and time of your first, second and third choice (e.g. Monday, Jan. 31 1pm – 5pm).
First Choice
*
Your answer
Second Choice
*
Your answer
Tutor Preference
(Tutor's name)
Your answer
Brief explanation of assignment or problem areas/concepts you need help with
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(Be specific)
Your answer
Session Information
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