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Assessment & Tutorial Center

Request for Tutoring Form

This form is for LPC students requesting an LPC tutor. Community members, please use the "Private Tutor List"

First Name:

Last Name:

Email:

Identification 'W' Number:

Home Phone number:

Cell Phone number:

Number of units currently enrolled in at LPC:

Request for Tutoring

Please list ONLY the courses for which you need tutoring.

CRN Course Name Instructor

Schedule

Please indicate ALL the hours you are available for tutoring with an X. These must be in one-hour blocks. (check 2 squares).

Hours
Monday
Tuesday
Wednesday
Thursday
Friday
9 - 9:30 am
9:30 - 10 am
10 - 10:30 am
10:30 - 11 am
11 - 11:30 am
11:30 - 12 pm
12 pm - 12:30 pm
12:30 - 1 pm
1 - 1:30 pm
1:30 - 2 pm
2 - 2:30 pm
2:30 - 3 pm
3 - 3:30 pm
3:30 - 4 pm
4 - 4:30 pm
4:30 - 5 pm
5 - 5:30 pm
5:30 - 6 pm
6 - 6:30 pm
6:30 - 7 pm
7 - 7:30 pm

Special areas of difficulty or concerns:

Tutorial Center

Located in the Study, Tutoring and Reading Room

Building 2400 -- Room 2401
925.424.1450

Email Pauline Trummel
Phone: 925.424.1471
Fax: 925.456-0671

Hours of Operation

Monday through Thursday

9:00 a.m. to 6:00 p.m.

Friday

9:00 a.m. to 12:00 p.m.

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Page last modified: June 29, 2009