Learning Services Peer Tutor Request Form

Learning Services Peer Tutor Request Form

Complete in order to request a tutor.
Please complete a new request for each class for which you would like to receive a tutor. Note that delays may occur in processing due to the volume of requests received in the early weeks of the semester. Typically, requests are assigned within approximately one week.

If you have any questions or if you do not hear about your tutor within a week, email Kristin Sites or call 301-447-5133. She is located in Learning Services (Archbishop Borders Hall, first floor).
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: *
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 what concerns you would like the tutor to address: *
Would you be interested in small group tutoring? (If available for your course) *

Yes No
Other Requests/Information (i.e. scheduling preferences, practice/rehearsal times, other specific requests):
Should be Empty: