LEARNING ASSISTANCE CENTER – D300

Tutoring Referral Form
____________________

____________________

___________________

Instructor

Course

Student

For the purpose of improving your skills and comprehension related to this course, you
are directed to attend the Learning Assistance Center (LAC) in Room D300 to work with
a tutor.
Specific Topic/Assignment: ________________________________________________
______________________________________________________________________
The LAC will require you to enroll in a noncredit course (Civic 3031 – Supervised
Tutoring) that will entitle you to receive tutoring in the Center for the entire semester at
no cost.
_________________________________

_____________________

Instructor’s Signature

Date

------------------------------------------------------------------------------------------------------------------------------------------------

LEARNING ASSISTANCE CENTER – D300
Tutoring Referral Form
____________________

____________________

___________________

Instructor

Course

Student

For the purpose of improving your skills and comprehension related to this course, you
are directed to attend the Learning Assistance Center (LAC) in Room D300 to work with
a tutor.
Specific Topic/Assignment: ________________________________________________
______________________________________________________________________
The LAC will require you to enroll in a noncredit course (Civic 3031 – Supervised
Tutoring) that will entitle you to receive tutoring in the Center for the entire semester at
no cost.
_________________________________

_____________________

Instructor’s Signature

Date

Sign up to vote on this title
UsefulNot useful