John Brown University - SSS Application

First Name:
Last Name:
SSS Advisor:
JBU Email:
Major:
Minor:
Classification:
Cell Phone Number:
Name of Wireless Provider:
Would you like to receive text messages? YesNo
Subject/Class for which tutoring is requested:
Time/Day of Class:
Instructor:
Student Availability:	Monday:
(List as many hours possible for best results)	Tuesday:
	Wednesday:
	Thursday:
	Friday:
	Sunday:
I have a disability or special consideration I would like my tutor to be aware of (explain): YesNo

Appointment Prefences
Duration:	One Time Only Short Term: Standing Appointments
Type:	Individual Group
Frequency:	1 hr/week 2 hr/week Other:
Emphasis: (check all that apply)	Subject MatterTest PrepStudy Skills

Student Support Services