Request for Tutor

All fields highlighted in red must be completed before submitting the form.

Your Information
Name
Bradley ID#
Phone Number
Email Address
Course Information
For which course are you requesting a tutor?
Course Instructor
Have you gone to your instructor for assistance?	Yes No
What assistance does your instructor provide or suggest?
Describe the types of problems you are having with the course and/or why tutoring would benefit you
How often do you anticipate meeting with the tutor?
For what length of time do you anticipate needing the tutor?	(Ex: One week, two weeks, remainder of semester)
Last date on which a tutor will be needed
By checking this box, I agree that I will notify the Learning Center at 677-3654 if a tutor is no longer needed for this course

Your Information