Tutor Request Form

Name:
Phone #:
FAU Email:
Sport:
Counselor's Name:
Course Subject:
Comments:

*All fields except Comments are mandatory.

BY ELECTRONICALLY SUBMITTING THIS FORM, I UNDERSTAND THAT IF I MISS MORE THAN 1 APPOINTMENT, I WILL BE CHARGED $10 FOR EACH ADDITIONAL MISSED APPOINTMENT BEYOND THAT POINT. I ALSO UNDERSTAND THAT I WILL NOT BE ASSIGNED A TUTOR IF I HAVE NOT PROVIDED MY FAU EMAIL ADDRESS.

Upon completion of this form, you will be taken directly to the Florida Atlantic Athletics homepage.