Academic Support Center

Request a Tutor

If you prefer, you may download this form, print it off and return it to the ASC.

Contact Info Your Name* Student ID* Phone Number* Email Address* Campus Address*

Academic Info

Please answer the following questions completely (and truthfully!)

Class in which you need assistance Class Name* Faculty email*
Are you attending class regularly? * If not, why not?
I have completed % of the reading.*
I have completed % of the homework.*
Briefly describe what you see as hindering your progress in this course. Please be as specific as possible.
Are there any additional situations or conditions that may be related to your performance in this course (i.e. a learning disability, etc.)?

*Required information