Reader/Tutor Request Form

If you are requesting to hire a reader using department funds, please use the READER HIRING FORM to request instructional support. However, if you need occasional help during specific periods of the quarter (e.g. midterms), please fill out the form below.

Who is submitting this request (your name)?

Instructor/supervisor of Reader or Tutor (name)

Hiring Department

Course for which Reader/Tutor will be assigned

Duration of Appointment
Duration of Appointment: Month Duration of Appointment: Day Duration of Appointment: Year Duration of Appointment
Duration of Appointment: Month Duration of Appointment: Day Duration of Appointment: Year Duration of Appointment

Duration of Appointment

Appointment percentage or average number of hours per week

Add Additional Comments Here (due to limited resources, we cannot guarantee requests for specific individuals. Thank you)

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Reader/Tutor Request Form

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