Tutoring Request Form

Fill out the form below to request tutoring services through UB STEP.

Please note: this is a REQUEST for tutoring. UB STEP staff will be in contact regarding scheduling and availibility.

Student Name (first & last)

(Required)

Student Email:

(Required)

Parent Email:

(Required)

List any availability contraints (for example: "Student Name" is unavailable on Tuesdays. ETC)

(Required)

List the specific course(s) the student is requesting tutoring for:

(Required)

**By submitting this form, I acknowledge that UB STEP offers tutors based on availability and that this form does not guarantee a student will receive the services requested.

(Required)

Yes

I also acknowledge the importance of attending assigned tutoring sessions in order to respect the limited tutoring availability.

(Required)

Yes

Tutoring Request Form

Cora P. Maloney Center

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