P Hour Tutor Req Form
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A student has requested tutoring services from the Power Hour program for the current semester. They provided their name, student ID number, contact information, and listed 5 courses they need help in along with the instructors. They also indicated their availability on various days of the week. The form collects whether the student has received tutoring from this program before and how they heard about the services. The bottom section is reserved for the office's use to schedule appointments and match students with tutors.
P Hour Tutor Req Form
- 1. Tutor Request FormEmpowering. Encouraging. Enlightening.Semester: ______________ Date: _________________Name: __________________________________________Student ID or Social Security Number: _____________________________Cell Phone: __________________________Home Phone: _________________________Primary E-mail Address: __________________________I need tutoring in:CoursesList Instructor1.2.3.4.5.I am available for tutoring on the following days at the specified time:Monday @Tuesday @Wednesday @Thursday @ Friday @Saturday @Sunday @Have you received tutoring from the Power Hour program before? YES/NOHow did you hear about the Power Hour program? Friend/Professor/Flyer/Orientation/Online/Other:*This Section Office Use Only**Study Skills Appointment Date: *Potential Tutor Matches:*Tutee Notified of Match by: *Notes: