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Name: ____________________     

Date: ______________

Address: __________________________________________

City/State/Zip: ____________________________________

Cell Phone: __________________

Home Phone:  ____________

Email:  ________________________

Academic Advisor: _______________________________________

Tutors Requested for the Following Courses:

Course Number

Course Name

Course Meeting Days and Times

Instructor’s Name

 

 

 

 

 

 

 

 

 

 

 

Times that I am free to meet a tutor are [put an X on all the times that you are available—the more you indicate the easier it is to match you to a tutor!

Day/ Time

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

8:00   am

9:00   am

10:00 am

11:00 am

12:00 pm

1:00   pm

2:00   pm

3:00   pm

4:00   pm

5:00   pm

6:00   pm

7:00   pm

8:00   pm

9:00   pm

 

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Marion Technical College
1467 Mt. Vernon Ave.
Marion, Oh. 43302

740.389.4636
enroll@mtc.edu

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