COS Mountain Logo

Class Schedule Apply mySiskiyous Canvas Menu Search

Tutoring Request Form

All fields marked with an asterisk (*) are required.

* Name:

* Phone:

* Email:

* Course Title:

* Instructor:

Select each block of time you are available
Time	Monday	Tuesday	Wednesday	Thursday	Friday
8 am	.	.	.	.	.
9 am	.	.	.	.	.
10 am	.	.	.	.	.
11 am	.	.	.	.	.
12 pm	.	.	.	.
1 pm	.	.	.	.
2 pm	.	.	.	.
3 pm	.	.	.	.
4 pm	.	.	.	.
5 pm		.		.
6 pm		.		.