Tutoring or Supplemental Instruction Request Form

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

First NameLast Name
E-mail*
What is your classification? (First Year, Sophomore, Junior, Senior)
Check all of the following that apply to you:

Is your GPA below 2.0?GSW AthleteNon-traditional student (age 24+)CommuterGSW Residential StudentDisability ServicesTransfer StudentVeteran, Active Duty or Military DependentOnline student (most or all of your classes are online)
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.

YesNo
Instructor
How much time do you devote each day to studying?

2 hours or more1 to 2 hoursLess than 1 hour
Availability: Please check which time slots you would most likely be available to meet

9:00 am- 11:00 am11:00 am- 1:00 pm1:00 pm-3:00 pmAfter 5:00 pm
Availability: Please check which days you would most likely be available to meet

MondayTuesdayWednesdayThursdayFridayWeekends (Online Only)
Describe how you would like to be tutored
Please indicate if you would like your tutor to help with....

Improving Time ManagementImproving OrganizationContent KnowledgeNotetakingTest PrepHomework HelpStudy StrategiesUnderstanding course readingsOther
Additional Comments:
Should be Empty:

Tutoring or Supplemental Instruction Request Form

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