Form

This form is for students currently receiving tutoring services. If you are a student in need of tutoring, please fill out the Tutor Request Form instead.
Personal Information
First Name
Last Name
Banner ID
Cell/Local Phone Number
Email Address
Month Of
Tutoring Information
Name of your Tutor
Type of Tutoring*
*A "Group" tutor is defined as a tutor who performs regularly scheduled hours in the MAC basement.
Subject (ex: Biology 107)
Number of tutoring hours received this month
Please answer the following: As a result of tutoring, my tutor helped me to
A. Improve my understanding of the material
B. Process course content at a higher conceptual level
C. Improve my study strategies
D. Become a more independent learner
Rate your Tutor
On a scale of 1 to 5 (5 being the highest), rate the tutor you've worked with most on the following:
Friendliness
Patience
Knowledge of subject area
Ability to help with specific problems
Ability to help with general concepts
Overall satisfaction
Please describe the highlight of your tutoring month
Do you need assistance from the tutor coordinator?
Questions, Comments or Concerns
Signature
Date
Do not fill in the following field