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Academic Achievement Center

Intake Form

Tutoring for Towson University students is available free of charge and is based upon the availability of a qualified tutor.  Currently the subject areas for tutoring during the Spring 2012 semester include Business, Computer Science, Math, Music, Natural Sciences, and Social Sciences.

Complete this form if you are not sure how to receive tutoring for your course, or if you are interested in scheduling academic coaching or study groups. 

Please read our Fact Sheet after completing this form.

Select an Area:
Academic Achievement Center (appointment-based and drop-in tutoring depending on subject)
Computer Science (drop-in tutoring only)
Math (drop-in tutoring only)
Music (appointment-based only)
Science (most subjects are drop-in tutoring only)

Type of Request:
Tutoring 
Academic Coaching 
Both
Study Group/Success Team

Semester Needed:    

Name:   

ID#:   

Home/Campus Phone:   

Work Phone:   

Email Address (required):   

Referred by: 


Availability:

How often would you like a tutoring session?    Weekly    Non-Weekly    

Please indicate ALL the times when you CAN attend a tutoring session.
Monday 8:00 9:00 10:00 11:00 12:00 1:00 2:00 3:00 4:00 5:00
Tuesday 8:00 9:00 10:00 11:00 12:00 1:00 2:00 3:00 4:00 5:00
Wednesday 8:00 9:00 10:00 11:00 12:00 1:00 2:00 3:00 4:00 5:00
Thursday 8:00 9:00 10:00 11:00 12:00 1:00 2:00 3:00 4:00 5:00
Friday 8:00 9:00 10:00 11:00 12:00 1:00 2:00 3:00 4:00 5:00


Tutoring or Study Group/Success Teams:

Requesting a tutor for: Course Title/Course Number (ie.  SPAN101):    

Instructor:        

Has instructor been informed?     

Additional request: Course Title/Course Number:           

Instructor:    

Has instructor been informed?   


Academic Coaching:

Requested Topic(s):  You can choose more than one, by pressing CTRL on the keyboard when you click on additional topics.

Other: 

Additional Information:

What is your goal for the session?

What background information will help us assist you with reaching your goal?

 

Academic Achievement Center
Cook Library, Room 524 (map)
Hours: Monday - Friday, 8:00 a.m. - 5 p.m

Phone: 410-704-2291
E-mail: achieve@towson.edu


 

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