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 NOTE: Please be aware that due to campus policies related to COVID-19, a face covering (over the nose and mouth) is required for both tutor and tutee at all times during in-person tutoring sessions. We will be holding strictly to this policy. 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 we cannot currently guarantee in-person tutoring). *

In-Person Tutoring Remote/Video Tutoring Blended (Some In-Person, Some Video) 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):