EmailMeForm
The Student Success Center: Tutor Request
Please Note: This is an initial request form. Students will receive confirmation once an appointment is made.
Legal Name
*
First
Last
Today's Date
*
MM
/
DD
/
YYYY
BHC ID Number
*
Which Campus?
QC Campus
East Campus
Online Only
Phone
*
###
-
###
-
####
Email
*
@mymail.bhc.edu account preferred
Course Name
*
Instructor Name
*
Are you a TRiO Student?
*
Yes
No
Please Indicate Your Availability
Mark the best times you are available. Please be specific, do not mark all the times.
Monday Availability
*
None
8-9am
9-10am
10-11am
11-12pm
12-1pm
1-2pm
2-3pm
3-4pm
4-5pm
5-6pm
Tuesday Availability
*
None
8-9am
9-10am
10-11am
11-12pm
12-1pm
1-2pm
2-3pm
3-4pm
4-5pm
5-6pm
Wednesday Availability
*
None
8-9am
9-10am
10-11am
11-12pm
12-1pm
1-2pm
2-3pm
3-4pm
4-5pm
5-6pm
Thursday Availability
*
None
8-9am
9-10am
10-11am
11-12pm
12-1pm
1-2pm
2-3pm
3-4pm
4-5pm
5-6pm
Friday Availability
*
None
8-9am
9-10am
10-11am
11-12pm
12-1pm
1-2pm
2-3pm
3-4pm
4-5pm
After-Hours Availability
In some cases we can accomodate later hours. Please indicate below if you require after-hour appointments.
I would prefer a later time if it was available:
*
Yes
No
After-Hours Availability
Mon 6-7pm
Mon 7-8pm
Tue 6-7pm
Tue 7-8pm
Wed 6-7pm
Wed 7-8pm
Thu 6-7pm
Thu 7-8pm
Fri 5-6pm
Fri 6-7pm
Fri 7-8pm
