Name
Street
City
State
Zip
Phone
Kirkwood
Student Email
K number
Major
Location

Are you currently receiving financial aid?
Yes
No

  

Courses I want tutoring for:

 

Course Name   Course Name
Instructor   Instructor
Term   Term
Year   Year



Please read the following learner guidelines thoroughly.

  • I will not be selective in requesting a tutor and will accept the match that the tutoring staff provides.
  • I understand that Kirkwood will fund up to two hours of tutoring per week, per class, for two credit courses per semester.
  • I understand that my tutor will meet with me, and only me, during our tutoring session unless other prearrangements have been made through Tutoring Services.
  • At the end of each tutoring session, I will sign my name in the space provided on my tutor's time sheet, verifying time tutored.
  • I will not pre-sign the tutor time sheet.
  • I understand that all tutoring is to be done in a public location.
  • I will report any problems I experience as a learner while working with my tutor, and will alert the tutoring staff if/when I stop meeting with my tutor.
  • I will not receive Kirkwood-funded tutoring services from individuals with the following relationships: relatives/family, friends, roommates, or significant others/spouses.
  • I understand that my tutor will help me acquire problem-solving skills to promote independent learning. I will not ask my tutor to complete my assignments for me.
  • Before my tutoring session, I will have attended class, read the material and made a list of questions. A tutor is not a substitute teacher and cannot be a replacement for a missed class period.
  • I will not apply to be a tutor in the same semester as I am a learner in that same subject matter.
  • I understand that if I need to cancel a tutoring appointment, I will do so at least two hours before the scheduled appointment. If I cannot reach the tutor, I will call Tutoring Services at 319-398-5425.
  • I understand that after two no-shows on my part, a tutor will no longer be assigned to me. If tutoring is reinstated, I must meet with a student support services coordinator.
  • If I exceed the two hour per week limit without prior approval from Tutoring Services, I will be responsible for paying the tutor with my own funds.
  • I understand that as a learner, I will be receiving individual peer tutoring unless other prearrangements have been made through Tutoring Services.

In consideration of Kirkwood funding tutoring services for me, I agree to conform to the tutoring rules and regulations for learners.

I understand that violation of these learner expectations will result in termination of my eligibility for receiving tutoring services.

Tutoring Services will contact you by telephone and/or Kirkwood student email within two working days once you submit this application. Please make sure the telephone number and Kirkwood student email you listed above is current.