SISS Tutoring Request Form
Name
*
First Name
Last Name
CCC Student Email
*
CometID@students.coconino.edu
Phone Number
Please enter a valid phone number.
What tribe are you affiliated with
*
Please Select
Navajo
Hopi
Apache
Zuni
Hualapai
Havasupai
Other
If other, please specify.
Preferred CCC Campus
*
Lone Tree Campus, Flagstaff, AZ
Fourth Street Campus, Flagstaff, AZ
Page Campus, Page, AZ
How did you find out about this opportunity?
*
Instructor
Friend
Flyer/Poster
Social Media
Campus TV monitor
Academic Advisor
Other
Choose the days you are available to meet with a SISS Tutor?
Monday
Tuesday
Wednesday
Thursday
Friday
List what times you are available to meet with a SISS Tutor?
Please enter time format HH:MM
What class or classes do you need help with?
Please type Course Subject and Number (e.g. CHM 131, MAT 140)
Submit
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