Tutoring or Supplemental Instruction Request Form

Tutoring or Supplemental Instruction Request Form
Semester *
Last Three Digits of Student ID *
Full Name *

First Name Last Name
E-mail *
Check all of the following that apply to you:

Is your GPA below 2.0? GSW Athlete Non-traditional student (age 24+) Commuter GSW Residential Student Disability Services First-Year student Transfer Student Veteran, Active Duty or Military Dependent
List all subjects for which a tutor or supplemental instruction leader is requested below:
Course Subject Code (i.e. Math 1111)
Would you like to be added to the Tutoring & Supplemental Instruction course in Georgia View? The course allows students to participate in online tutoring and access useful resources and information from select courses.

Yes No
Instructor
How much time do you devote each day to studying?

2 hours or more 1 to 2 hours Less than 1 hour
Availability: Please check which time slots you would most likely be available to meet

9:00 am- 11:00 am 11:00 am- 1:00 pm 1:00 pm - 4:00 pm 4:00 pm-7:00 pm 7:00 pm-9:00 pm
Availability: Please check which days you would most likely be available to meet

Monday Tuesday Wednesday Thursday Friday Online Only
Please indicate if you would like your tutor to help with....

Recognizing learning style Improving study habits Improving time management Improving organization Content Knowledge Notetaking Test-Taking Strategies
Additional Comments:
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm

List all subjects for which a tutor or supplemental instruction leader is requested below: