Community Learning Center for Children and Youth

Mailing Address
Cleveland State University
2121 Euclid Avenue, JH 130
Cleveland, OH 44115

Campus Location
2485 Euclid Avenue
Julka Hall, Room 130
Cleveland, OH 44115

Phone: 216.687.4768
communitylearningctr@csuohio.edu

TRI-C Tutor Intake Form

Current Start
Page 2
Page 3
Page 4
Complete

1.Name

2. Tri-C Student?

Yes

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