Office of Learning Services

Request for Services

 

 

(Students with disabilities who are having difficulties completing this form

may go to  Poucher 106 for additional assistance.)

 

Tutoring assignments can not be processed unless all fields are completed.

DATE:

 

Type of services requested:
FIRST NAME:
LAST NAME:
GENDER:
LOCAL ADDRESS:

E-MAIL:

PHONE:

College Status: 

Semesters Completed:
I.D.#

Information on the course to be Tutored:

        Dept

If your dept is not listed, please comment it in the comment box below

Course #

INSTRUCTOR:

CLASS DAY/TIME:

1.Were you referred for this service?

2.If "YES", By whom?

3. Is this the first time you are taking the course?
4. Have you received services from OLS in the past?   

5.If so, for what course?
6. Estimate the grade you have in the course now.   
7. Estimate your final grade in the course without tutoring.
8. Are you experiencing difficulty with current material only or with material covered earlier in the course as well? 
9. Are you having difficulty with any of the following:
10. Describe your class attendance:
11. Have you spoken to the instructor of the course regarding your work? 
12. May we inform your professor of your progress?

      

Enter any special requests or comments in this box:

 

 

Place an "X" in each box for the time periods during which you "can not" attend a tutoring session. 

 

Monday

Tuesday

Wednesday

Thursday

Friday

 
 

 
 

        All tutoring assignments are made generally for group sessions.  

        Request for services will be processed within 3 - 5 working days.  The OLS tutoring staff may call to check information submitted by this form.  All forms that are sent without all information being completed will not be processed by the OLS tutoring staff. No tutoring assignments will be made for incomplete forms. 

        Assignments will be made based on the availability of tutors for each course, and the compatibility of your schedule and that of the available tutors.  The OLS tutoring staff will inform you by e-mail of the status of your request. 

 It is possible that no tutors will be available for your course.  

 

        You may e-mail OLS at ols@oswego.edu for more information.

 

Last updated

August 27, 2007