Learning Services Peer Tutor Request Form

Please complete the form below in order to request a Peer Tutor. You should complete one form for EACH course in which you would like a tutor; do not try to combine multiple courses into one form.

After you complete the form, you will receive an e-mail confirmation of submission, and you should receive additional information about your assigned Peer Tutor within about a week. We appreciate your patience. If there are any issues with your request, you will be contacted.

Any questions about Peer Tutoring should be directed to Kristin Sites, Associate Director of Learning & Success, at sites@msmary.edu or at 301-447-5133.

SPECIAL COVID-19 NOTE: The university currently does not have a mask mandate in place, so masks are no longer required for in-person tutoring, though we will change that guidance as directed to do so. Those who are feeling ill or have had a recent exposure to a positive case of COVID-19 are encouraged to wear masks or use our video tutoring option. Due to COVID-19 related concerns, Peer Tutors may switch to video tutoring at their discretion. Please speak with the Associate Director if you have a concern.

Date of Application *

Month Day Year

Name *

First Name Last Name

Class Standing *

Cell or Local Phone Number *

May we contact you via text message? *

Yes No

Mount Email Address *

example@email.msmary.edu

Course Number/Section: *

Example: SPAN 101 A

Instructor Name: *

Preferred frequency of tutoring: *

1x per week 2x per week Bi-weekly Test prep only Current material only

Preferred frequency of tutoring *

1x per week 2x per week Bi-weekly Test Prep Only Current Material Only

Please briefly explain your course needs/ concerns for tutoring: *

Please choose your preference for the method of tutoring (note: we will do our best to honor preferences, but the method of tutoring may vary or change depending upon the circumstances). *

In-Person Tutoring Blended (Some In-Person, Some Video) Video Tutoring Any Method/No Preference

Would you be interested in small group tutoring? (If available for your course) *

Yes No

Other Requests/Preferences (i.e. scheduling preferences, practice/rehearsal times, other specific requests):

Tutoring Contract Agreement

I have read the tutoring contract agreement linked above. *

Yes