Instructor Referral

The Tutoring Center is open (fall and spring semesters):  Monday - Thursday 8:30 am - 7:00 pm;  Friday 8:30 am - 4:00 pm.

Please use this form to help us better help your students.  It is still the responsibility of the student to contact us for an appointment.  This form will be on file at the Tutoring Center when the student arrives for the appointment. 

Instructor:
Course & Section #:
Student's Name:
Date of referral:
Date appointment is required by:
What would you like the tutor to work on? (Essay organization; sentence structure; thesis statement development; etc):
Rewrite/Revise (please provide specific instructions for the tutor):
Any additional comments for the tutor:
How would you prefer to be contacted regarding the tutoring session?
	Email (Enter email address) Mailbox in Penn Hall