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Please fill out all applicable fields ( Fields marked with
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are required )
Please fill in all of the data possible below, so that we can contact you regarding your request.
Note
: Do not press the "enter" key until you are ready to submit this form.
*
1. Your Name:
*
2. Your Email Address:
3. Year in College:
Select One
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Freshman
Sophomore
Junior
Senior
Unclassified
4. Residence Hall & Room Number (or Off-campus):
5. Phone:
6. Campus P.O. Box:
7. Request:
Select One
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Find A Tutor
Join A Study Group
8. Course Number & Title:
9. Professor:
10. If you need a tutor, list any persons or persons you would suggest as your tutor.
11. Please describe difficulties you are having in the class.
12. Do you have any other comments or questions?