BX10 Tutoring Participant Survey
The CEC will use this form to assign an appropriate tutor for you.
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Your name: First & Last *
Your telephone #: (area code) xxx-xxxx *
Your email address: *
What kind of computer do you have? *
Required
What is the approximate age of your computer? *
If you know which operating system your computer is using, please indicate below: *
What do you do with your computer at the present time? *
What would you like to accomplish by the end of your sessions with a tutor? *
How many sessions do you anticipate you will need to accomplish your goals?  The CEC is charging $5/session. *
Each tutoring session will be 1 hour long and meet in either room 11, room 20, or on your own computer.  
Which days and times of the week would you be able to meet with your tutor? *
List day of the week and the time of the day you are available so a potential tutor can determine if they are free to meet with you.  You can work out changes in your availability later after meeting with your tutor.
Any comments, concerns, or potential problems we should know about?
Submit
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