tutorrequestform

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					                 NVCC-Woodbridge Tutor Request Form
   Students who wish to request one-on-one tutoring need to provide the
              following information to the Tutoring Program.

         Please Fill out the Form below and email as an attachment to:
                              ehodkinson@nvcc.edu
                                         or
                               Drop off in Room 328
Student’s name:
Last: _______________________, First: _______________, Middle Initial: ___

EMPLID Number: _______________
Address Line 1: ______________________________________________
Address Line 2: ______________________________________________
City: __________________________
State: _________________
Zip Code: ___________


Home Phone: ________________                   Work/Other Phone: ________________

E-mail address to which you want referral sent: _______________________________


Course for which you need a tutor: _________________________________________

Instructor’s name and campus location of course:
_____________________________________________________________________


Once the request is received, you will be sent, through e-mail, names and phone numbers of
students who can tutor the requested course. If no student tutor is available for a particular
course, an attempt will be made to find one; however, it can take a few weeks to recruit and hire
someone. You will be informed if no tutor is available for the course that you requested.

After you receive names of tutors, it is the student’s responsibility to call and arrange to meet at
a convenient time on campus. A student can receive up to 2 hours of free tutoring per week for
each course in which he/she is enrolled.

Any questions, contact the Tutoring Center 703-878-5657.

				
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posted:9/16/2012
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