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Special Session Form

This special session request is only for individual sessions, and should be filled out every time you have an additional “special” session for your group.    Please note:  a minimum of 2 students must attend in order to be paid for a special session. 

Your name:

Your email:

Course you are tutoring:

Instructor's name:

Date/Time for your one time session:

Original Room Number:

Please Select the Reason:
Makeup Test Day
Other - State reason