STEP

Peer Tutor Request Application

Please indicate the semester in which you are applying to have a Peer Tutor

First Name *

MI

Last Name *

Email Address *

Campus Resident? *

Cell Phone *

Year in School? *

Major *

Are you a Co-op student? *

Type of peer tutoring assignment prefered (rank your choices 1-2: 1= most preferred)

Individual Tutoring *

Small Groups (max. 5 students tutored at the same time) *

Have you received a tutor from ASC for the above subject(s)? *

If yes, for what course/s? (please indicate the course number/s)

Signature *

Date *

Year

Month

Day