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Tutor Request Form
Please complete the form below. We will contact you within 24 hours to confirm the details of your tutoring request.
Name
First
Last
Email
Phone
###
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###
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Type of Tutoring:
Please select
Individual - $35/hr + HST
Group (Max 4 People) $50/hr + HST
Lab Tutoring - Individual - $45/hr + HST
Subject of Tutoring:
Please select
Nursing Theory
Nursing Practice
Health Assessment
Pharmacology
Pathophysiology
Anatomy and Physiology
Nursing Skills
Paramedic Skills & Scenarios
Other: (please contact for details)
Program Level
Please select
PN
BScN
NP
Paramedic
Preferred Date/Time of Tutoring Session:
MM
/
DD
/
YYYY
HH
:
MM
AM
PM
AM/PM
Second Choice of Date/Time:
MM
/
DD
/
YYYY
HH
:
MM
AM
PM
AM/PM
Please specify the content you wish this session to focus on:
Anything else we should know?
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