TUTOR REQUEST FORM

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12 Characters
1 Uppercase letter
1 Lowercase letter
1 Number
1 Special character

Please complete and submit each term you're in need of a tutor! If you need a tutor for different subjects/classes please submit a form for each subject.

If you choose to do 'online' tutoring (through Tutor.com) please read below:

The Training Fund contracts with vendors for provision of certain services. Based on the Trainings Fund’s contract with each vendor, the Training Fund has agreed that members accessing the service will comply with the policies and terms provided directly by the vendor. By utilizing vendor services though the Training Fund, members agree to these terms. If the vendor discontinues provision of service due to any reason for a member, Training Fund will work with member to explore alternatives that maybe available within current benefits, programs and services.

NOTE: PER DIEM & CONTRACT EMPLOYEES ARE NOT ELIGIBLE FOR THIS SERVICE

EMPLOYEE INFORMATION: for your name please give us the full first and last name your employer has on file (no nicknames).

First Name

Middle Initial

Last Name

Home Address

Home City

Home State

Home Zip/Postal

Preferred Phone Number

Mobile Phone

Work Phone

Home Phone

Primary Email

Email (please be sure you DO NOT share this email with another hospital worker such as a family/friend/co-worker/spouse/child - each person needs to have their own email and you can always use your work email if you don't have a personal email)

Employer

Department

Job Title

Bargaining Unit

Current FTE

Date of Hire (mm/dd/yyyy format)

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