Tutoring Request Form

Welcome to the Marymount Manhattan Tutoring Referral form for faculty. You can use this form to refer students who need help. Please fill out all of the information below, and we will contact your student to make him or her aware of our services.

All fields marked with asterisk (*) are required.

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Instructor's Name*

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Email Address*

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Telephone Number

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Student Name*

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With what course does your student need help?

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Student Phone

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Student Email

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What would you like us to help him or her with?

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If you have a particular assignment you would like us to help your student with, please cut and paste it into the box below.

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Any additional comments:

Link (required)