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Tutor Request Form

Personal Information:

*Today's Date:
*First Name: *Last Name:
*Email Address (must be a SEMO email address):
*Student ID number (SO Number):
*Telephone:

Course Information:

Course Number Course Name

Your availability:

In the box please write down your availability:

Completing this form is only the first step in requesting a tutor. After you have submitted this form you will need to stop UC 211 to complete the application process. The sooner you stop by the office the sooner we will be able to match you up with a tutor.





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