Academic Support Tutoring Program

Tutor Request Application

Tutoring assistance is provided through Academic Support for all Willamette undergraduate students.

Note: Field Names in Red are Required.

Name:*
Phone:*
Email:*
Student ID#:*
Major:*
Year in School:*
Date:*

In order for us to find a qualified tutor, we need the details below:

Course #:*
Course Title:*
Course Meeting Days/Times:*
Professor:*
Professor's Email:*
Please indicate specifically what kind of help you are requesting:*
We expect students to communicate with their professors. 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 are taking for extra help?*	Yes No
Please Explain your answer:
Were you referred to us by your professor?*	Yes No
In some subjects (often chemistry and math), because of the high demand for tutoring, we can only provide help in a group format. If you know other students who might be in a group with you, please list their names.
Is there any additional information that you wish to share?

Student Agreement

To assist you, the student, in obtaining the maximum benefits from your tutoring session, we request that both the student and the tutor agree to the terms outlined in the Academic Support’s Tutor/Tutee Guidelines.

Mutual respect and consideration is the key to a productive relationship. Please remember to keep the communication channels open.

If you need to cancel an appointment, please give your tutee at least 24 hours notice.

I have read the Academic Support's Tutoring Guidelines and agree to the terms.*

I Agree