Community Learning Center for Children and Youth

Tri-C Tutor Intake Form

 

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1.Name *

2. Tri-C Student? *

Yes

No

Tri-C ID #

3.Phone Number *

must include dashes (###-###-####)

4.Email Address *

5. Programs/Applications Used/Approved *

Microsoft Office (Word, Excel, PowerPoint)

Google Classroom

YouTube

Other Software

5. Programs/Applications Used/Approved Other Software

Leave this field blank