Please fill out the form below to request a tutor. Personal Information Date: Example: 5/10/2010 Semester: Example: Summer 2010 First Name: Last Name: SE E-mail address: Example: email@example.com Student ID #: Telephone: Example: (573) 651-2000 Answering Machine: Yes No Best time to call: Major: College: Current Student Level Beginning Freshman Freshman Sophomore Junior Senior Graduate Student 2nd Degree Seeking Other Course Information Course NumberExample: MA134-01 Course NameExample: Algebra I Location Taught Example: Main Campus, Online, Regional Campus 1. 2. Please provide a schedule of when you will be available for tutoring, Monday - Friday: * By submitting this form I authorize the University Tutorial Services to access my academic and class records. I understand that these records will be held in the strictest confidence.* You will be contacted through your Southeast Email regarding your request.