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Support Services
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 |
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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 |
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9:00 am |
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10:00 am |
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11:00 am |
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12:00 pm |
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1:00 pm |
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2:00 pm |
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3:00 pm |
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4:00 pm |
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5:00 pm |
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6:00 pm |
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7:00 pm |
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8:00 pm |
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9:00 pm |
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Contact Us:
1467 Mount Vernon Ave.
Marion, Ohio 43302
740.389.4636
enroll@mtc.edu
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