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Tutor Request

Question Title

* 1. Please enter your PSC student ID number.

Question Title

* 2. Personal Information

First Name: *

Last Name: *

Room Number:

Phone Number: *

Email Address: *

Classification (Freshman, Sophomore, Junior, Senior, Post-Bacc): *

Major: *

Question Title

* 3. For which classes are you requesting peer education/tutoring?

Course 1:

Instructor:

Course 2:

Instructor:

Course 3:

Instructor: