Published on
DSU
(
http://www.desu.edu
)
Tutor Request Form
Last Name
*
First Name
*
Cell Phone #
Student ID # D100
*
DSU Email (only)
*
Classification
Freshman
Sophomore
Junior
Senior
Course Title
CRN#
Professor's Name
Please Check ALL that apply:
Project Success
Academic Probation
Re-Admitted Student
Regular Student
EAS-Early Alert System
Student Athlete
If student athlete, please select sport
M. Basketball
W. Basketball
Bowling
Baseball
Football
W. Soccer
Softball
W. Tennis
M. Track/Field/CC
W. Track/Field/CC
Volleyball
Cheer Team
Equestrian
For Office Use Only:
Tutor Assigned:
Date Assigned:
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
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8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2011
2012
2013
2014
2015
Tutor File:
Tutor contact form to Student:
Callback date:
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2011
2012
2013
2014
2015
Please call (302)857-6389 or come back to the Library Room 206 if you are not contacted within 48 hours.
Source URL:
http://www.desu.edu/tutor-request-form