Tutor.com Tutor Programming Request Form (Libraries)

Tutor.com Tutor Programming Request Form

Please submit this request form at least 3 days in advance of using Tutor.com with an entire group of patrons. This helps ensure ample tutors are available during your program's hours and wait times are kept to a minimum. Please also keep in mind your program's hours of availability when filling this form out. you will not be able to schedule tutoring for hours your program is not available.
Your Name

First NameLast Name
Email
example@example.com
Library Name
Library Location

Street Address

Street Address Line 2

CityState

Zip Code
Library Time Zone
Date of intended usage

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate

Complete one line of the table for each group of patrons you plan to work with on the above date. Note: If requesting Writing/Resume tutors, please indicate whether students will drop off papers for review or will be working in a live 1-1 session.

Rows	Program Start Time	Program End Time	Number of Patrons	Grade Level(s) of Patrons	Topic Requested (i.e. Science, Math, Writing)	Subject Requested (i.e. Biology, Algebra, Drop-Off Writing)
Group 1
Group 2
Group 3
Group 4
Group 5
Group 6
Group 7

Do you need to request tutors in a topic/subject not listed above? If yes, please specify below.
"Other" Subject
Do you have any questions? Is there any special information we should know about your request?
How should we contact you about your request, if needed?
If you'd like us to contact you by phone, please provide the best phone number to reach you.

Area CodePhone Number
Should be Empty: