Tutoring or Supplemental Instruction Request Form
Semester
*
Last Three Digits of Student ID
*
Full Name
*
First Name
Last Name
E-mail
*
What is your classification? (First Year, Sophomore, Junior, Senior)
First Year
Sophomore
Junior
Senior
Check all of the following that apply to you:
Is your GPA below 2.0?
GSW Athlete
Non-traditional student (age 24+)
Commuter
GSW Residential Student
Disability Services
Transfer Student
Veteran, Active Duty or Military Dependent
Online student (most or all of your classes are online)
List all subjects for which a tutor or supplemental instruction leader is requested below:
Course Subject Code (i.e. Math 1111)
Would you like to be added to the Tutoring & Supplemental Instruction course in Georgia View? The course allows students to participate in online tutoring and access useful resources and information from select courses.
Yes
No
Instructor
How much time do you devote each day to studying?
2 hours or more
1 to 2 hours
Less than 1 hour
Availability: Please check which time slots you would most likely be available to meet
9:00 am- 11:00 am
11:00 am- 1:00 pm
1:00 pm-3:00 pm
After 5:00 pm
Availability: Please check which days you would most likely be available to meet
Monday
Tuesday
Wednesday
Thursday
Friday
Weekends (Online Only)
Describe how you would like to be tutored
Face to Face Only
Online Only
Either is fine
Please indicate if you would like your tutor to help with....
Improving Time Management
Improving Organization
Content Knowledge
Notetaking
Test Prep
Homework Help
Study Strategies
Understanding course readings
Other
Additional Comments:
Submit
Should be Empty: