Appointment Registration Form

" If you're in charge of managing domain name space you should treat everybody who asks for a registration the same. Whatever that is - whether it's nice or ugly or whatever - just be fair, treat them all the same." -- Jon Postel

 

Please provide the following information AND read everything on this page:
Last Name

First Name

Student ID Phone Number
e-mail address EOPS STUDENT?

Yes

No
 

Math Class Details
(First Class)

  

2Math Class Details
(Second Class)
ONLY IF TAKING 2 MATH COURSE
Math Course : Math Course :
Section Number: Section Number:
Instructor: Instructor
 
Would you like to be reminded in advance of your upcoming Appointments? Yes
No
 

To Complete Registration, please read the Appointment Policy below. 
Check the box labeled 'I Agree' which signifies that you completely understand and adhere to this policy.

  I Agree
CLICK SUBMIT BUTTON BELOW

Please indicate in the box below your goals or expectations from being  Tutored in the Math Lab. 
 What do your expect the experience will be like? 
This comment is very important!

 

Appointment Policy :

 **There is a maximum of two (2) scheduled appointments per week. 

 **Appointments can be scheduled two (2) days in advance
(i.e. Monday appointments can be scheduled on Thursday)

 **Appointments must be cancelled 24 hrs in advance. 
Appointments not cancelled 24 hrs in advance will be considered a NO SHOW.

**After the second (2nd) NO SHOW, you will no longer be allowed to make any more appointments the rest of the semester. 
(Stand-by Appointments, Drop-In Tutoring & Workshops will still be available to you).

 **Call 310-434-4735 to CANCEL appointments

 **EOPS:  Please inquire about Priority Tutoring. 

 **If you are unable to schedule an appointment, please inquire about other resources available to you
(Stand-by Appointments, Drop-In Tutoring, and  Workshops)

 
 

                                                                                    

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