Tutor/Mentor Request Form

Tutor/Mentor Request Form

* You may request tutoring and/or mentoring in any semester needed! * New SSS Scholars MUST request tutoring or mentoring in their first semester. * Please list as much availability as possible, so you can be matched with a tutor/mentor.
What request are you submitting?
Name

First NameLast Name
Email
example@example.com
Cell Number

Area CodePhone Number
Where would you like to meet?

Please select ALL the times you will be AVAILABLE on Monday/Wednesday/Friday: * Please give us as much availability as possible so we can more easily match you with a tutor/mentor

Rows	Monday	Wednesday	Friday
8-8:50am
9-9:50am
10-10:50am
11-11:50am
12-12:50pm
1-1:50pm
2-2:50pm
3-3:50pm
4-4:50pm
5-5:50pm

Please select ALL the times you will be AVAILABLE on Tuesday/Thursday: * Please give us as much availability as possible so we can more easily match you with a tutor/mentor.

Rows	Tuesday	Thursday
8-8:50am
9:30-10:20am
11-11:50am
12:30-1:20pm
2-2:50pm
3:30-4:20pm
2-2:50pm
3-3:50pm
4-4:50pm
5-5:50pm

Subject Request: List Mentoring OR enter the Course Number and Name ex. EH 101 Written English 1
Subject Request: List Course Number and Name ex. BY 101 Intro to Biology
Subject Request: List Course Number and Name ex. MH 101 College Algebra
Any Preferences?
Ex. A particular mentor you'd like to request? Or a time you aren't available that doesn't show on your class schedule?
Next Step! Click: book a meeting with Mrs. Bowden to confirm your schedule.
Should be Empty: