Northwestern University Department of Athletics
Academic Services & Student Development

INDIVIDUAL TUTORING REQUEST FORM


The turnaround time from the point this form is submitted by the student-athlete and contacted by a tutor will be no more than 3 business days.  If you have not heard from a tutor by then, please contact Marcus Brown (847-467-4576).   Type your information in all fields that apply. Type your text information over "xx" in any field you need.


Today's Date:

Student's Name (First and Last):

Best Phone Number to Reach You At:

Student's Email Address:

Student’s Sport:

Advisor: Cory Davon Marcus Margaret Maria Mary Beth Michelle Unsure

SUBJECT TO BE TUTORED
Department and Class #:

(Example: Chemistry 101)

Is this request for writing assistance?   Yes   No

Day(s) Available for Tutoring: (check all that apply)
Day Time
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

 

No-Show Policy Agreement

I understand that I must contact the tutor at least 24 hours in advance if I cannot attend a scheduled individual tutoring session. If I am more than 10 minutes late or miss a session, I understand the following repercussion will take place:

1st No Show: Academic Advisor in Athletics notified; Coach notified and student is warned.

2nd No Show: Academic Advisor in Athletics notified; Coach notified and student required to meet with academic advisor (tutoring suspended until meeting has been held).

3rd No Show: Academic Advisor notified; Coach notified and student’s tutoring privileges suspended for remainder of academic quarter.

 
Yes, I accept this agreement. (request will not be processed without acceptance of this policy)

Press to submit your form or press to clear your form.


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