LC - Tutor Request Form

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Tutor Request Form

Complete this form if we do not have a tutor for the course you are taking.

PLEASE NOTE: There is no guarantee that a tutor will be provided and there must be sufficient demand for this course from other students in order for the Learning Center to hire a tutor.

Today's Date

First Name

Last Name

OCC Student ID #

Preferred Phone Number

e.g. (999) 999-9999

What course do you need assistance with that the Learning Center does not have a tutor for already?

Please enter the course number (ex. BUS 107)

Course Instructor

What area of the course are you particularly struggling with?

Understanding Concepts

Study/Reading Skills

Software/Technology Skills

Writing Essays

Other

What are you struggling with?

Have you met with your instructor for help?

If not, please indicate why

When are you available to be tutored? Check as many time options as possible.
This will help us find mutually acceptable tutor times in the event the Learning Center is able to hire a tutor for the course you have indicated.

Monday

Morning

Afternoon

Evening

Tuesday

Morning

Afternoon

Evening

Wednesday

Morning

Afternoon

Evening

Thursday

Morning

Afternoon

Evening

Friday

Morning

Afternoon

Saturday

Afternoon

Sunday

Afternoon

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