Bowling Green State University-SSS-Tutoring Request

Course Prefix, Number and Title (i.e., ECON 2020, Intro to Economics)

Instructor

First NameLast Name

Grade % (if known)

Have you discussed your difficulties in this course with your instructor?

YesNo

If no, why not? If yes, what are her/his recommendations?

Why do you feel you need a tutor? What goals are you trying to achieve in requesting a tutor?

Student Support Services tutors are encouraged to contact instructors and if you have an identified disability, your tutor has your permission to discuss your disability, as it pertains to your tutoring situation. By signing below, you are agreeing to the terms listed on this statement.

Signature

Date

mm-dd-yyyy

***You are required to e-mail our Academic Support Coordinator, Christin Wilkins, at cjwilki@bgsu.edu upon completion of this form to get your assigned tutor. Thank You!