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Tutor Request Form
CLA Dean’s Office

Tutoring is available through the CLA Dean’s Office for all undergraduate students.

When the form is complete, click the [Submit] button at the bottom of the page. The form will be submitted to the Dean's Office and the Registrar. You'll also see a completed version of the form, which you may print for your records.


Name:

Date:

Phone:

Box:

Email:

Year in school:

In order for us to find a qualified tutor, we need detailed answers below.

List the class for which you are requesting a tutor:

Course Title & Number:

Professor:

Meeting Days/times:

Please indicate specifically what kind of help you are requesting:

Have you worked with the professor in getting extra help? Yes No

Please explain:

Have you used tutoring or lab services in the department of the class you’re taking for extra help?
Yes No

Please explain your answer:

Were you referred to us by your professor? Yes No

Occasionally two students in the same course can be tutored at the same time. Would you be comfortable with this? Yes No

Is there any additional information that you wish to share?

  Questions or comments on this site? webmaster@willamette.edu
Last Updated 03/03/2005 5:58 PM
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