Fitchburg State College
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Tutor Center: Peer Tutor Application

First Name:
Last Name:
Email:
Campus Address (Where Applicable)
FSC Box #:
Campus Phone: 978
If Off Campus
Street:
City:
State:
Zip:
Off Campus Phone:
Year: Freshman
Sophomore
Junior
Senior
Grad
Cont. Ed.
Which Courses Are You Interested
in Providing Peer Tutoring?

(MUST HAVE A 3.5 OR BETTER IN THIS COURSE)

Course Title

Department


Course Title

Department


Course Title

Department
Peer Tutor Reference Professor's Name

Department of Reference


Professor's Name

Department of Reference
What is your availability?
Please fill in a specific
range of hours

Monday


Tuesday


Wednesday


Thursday


Friday


Saturday


Sunday