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Lab Assistant Request for Instructors

Applicant Information
Instructor Name                                                                                    Date
      
Cell Number             Email    
    
Course Level            Program                                                                   Support Needed    
   

Area(s) of Need
Please list the courses or program for which you would like to have a lab assistant.

Course # Course Name Instructor
  
  

Are you interested in having a tutor conduct a specific Study Skills workshop for your area?

Your Time of Need

Please indicate all the days and times you are requesting lab assistant support.

Additional Comments