University of Louisville
Academic Services for Athletics
Tutor Request Form

Please provide all requested information.

Student Name:
Sport: (Choose one) Baseball Basketball (Men's) Basketball (Women's) CDC Cross Country/Track (Men's) Cross Country/Track (Women's) Field Hockey Football Golf (Men's) Golf (Women's) Lacrosse Rowing Soccer (Men's) Soccer (Women's) Softball Spirit Groups Swimming (Men's) Swimming (Women's) Tennis (Men's) Tennis (Women's) Trainers Volleyball
Confirm Sport: Baseball Basketball (Men's) Basketball (Women's) Cross Country/Track (Men's) Cross Country/Track (Women's) Field Hockey Football Football Managers Golf (Men's) Golf (Women's) Lacrosse Managers (not Football) & Trainers Rowing Soccer (Men's) Soccer (Women's) Softball Spirit Groups Swimming (Men's) Swimming (Women's) Tennis (Men's) Tennis (Women's) Volleyball CDC ** Intra-Office Request and Confirmation
Student Phone Number:
Student E-Mail:

Will this student need extra help from his/her tutor? No Yes
Will this student be difficult to contact to initiate the first appointment? No Yes

Course/Section:
Course Title:
Instructor:
Location: Student Activities Center Papa John's Cardinal Stadium Jim Patterson Stadium Yum! Center Ekstrom Library

Available Times:

Counselor:
Your complete email address:
Date Requested: