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Eop Tutorial Request Form

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EOP TUTORIAL REQUEST FORM

An application is required each semester. Incomplete forms will not be processed. Submit to EOP front desk in SSB-201. Students

must follow up on their application by calling the tutorial coordinator at 415-338-1966.

First Name:__________________________ Last Name:_______________________ SFSU ID(required):_____________________

E-mail:___________________________ Phone:_______________________ Class level(Fr, Soph, Jr, Sr):_____ Major:__________

Course(s) for tutoring needs:_________________________________________________________________________________

Semester and year admitted to SFSU/EOP:_________________

Select tutoring preference:

Weekly

Drop-In

Study Group

EOP Advisor’s Name:__________________________________________

Please mark availability with an X

HOUR

MON

TUES

WED

THURS

Tutorial hours are limited. Please mark all hours that you are

9AM – 10AM

available with an X. Students with non-flexible hours will be referred

10AM – 11AM

to drop-in service until assigned tutoring becomes available. Those

11AM – 12PM

assigned for individualized tutoring are expected to attend each

session. Students who miss two sessions without prior notification

1PM – 2PM

will lose their time slot. For scheduled tutoring that requires use of

2PM – 3PM

computer lab please note that it is open daily from 9-12 and 1-4.

3M – 4PM

For office use only

Tutor:__________________________ Day/Time:______________________________________ Confirmed:_________________

Eop Tutorial Request Form

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