SECOND SEMESTER TUTORING FORM (2015)

* Indicates required field

Tutor Name *

First

Last

Latest Cell Number *

Latest email address *

Gender *

Study Direction (if applicable) *

Prefered Language of Tuition *

Please indicate the first module that you would like to tutor this semester *

If other, please indicate the module/subject you wish to tutor *

Please indicate a second module that you would like to tutor *

If other, please indicate the module/subject you wish to tutor *

Please indicate the number of hours you will be available to tutor during a week *

Please indicate the maximum number of students that you would like be assigned to for the semester *

For tutors that are currently not involved in courses but are interested in assisting, please select a course that you would like to assist in *

Form of transportation. Please note that a car is only necessary for High school tutoring *

Would you like to participate and be informed (email notification) of upcoming Community involvement Projects? *

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