TLC Coordinator Class Visit Form

Tutoring and Learning Center

TLC Coordinator Class Visit Form

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Please fill out and submit the following form if you would like a representative from the Tutoring and Learning Center to visit your class. The visit informs students of our general services, and the visit does not include a specific skill workshop. All fields are required. (Due to possible time conflicts, please submit request at least 48 hours in advance.) Note: Class Visits must be between 9-7:30 p.m.

Please fill out this form completely and press submit.

First Name:

Last Name:

E-mail Address:

Telephone: –First 3 digits:–Last 4 digits:

Class Information. You may enter up to 3 classes that you like a visit.

	Class #1	Class #2	Class #3
Course Prefix:	(Example: ENG)	Course Prefix 2:	Course Prefix 3:
Course Number:	(Example: 102)	Course Number 2:	Course Number 3:
How Many Students:		How Many Students 2:	How Many Students 3:
Date Needed:	(mm/dd/yyyy)	Date Needed 2: (mm/dd/yyyy)	Date Needed 3: (mm/dd/yyyy)
Time Needed:	:Minute: Morning/Afternoon:	Time Needed 2: :Minute: Morning/Afternoon:	Time Needed 3: :Minute: Morning/Afternoon:
Educational Site:		Educational Site 2:	Educational Site 3:
If Dandini Campus:		If Dandini Campus 2:	If Dandini Campus 3:
Room Number:		Room Number 2:	Room Number 3:

Visitation Topic: Tutoring and Learning Center Overview
Writing Tutoring Overview
Math Tutoring Overview
Other (give specific instructions below)

Specific Instructions/Requests:

By pressing submit, you are verifying that all of the information provided
above is true, correct and complete.

Tutoring and Learning Center

TLC Coordinator Class Visit Form

TMCC