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Note:  This form is for FACULTY to make an appointment.  If you are trying to schedule an appointment for TUTORING, go to the Center for Academic Success site.

To request an appointment with a member of our staff, please complete the following form.   
After your appointment is scheduled, you will receive an e-mail confirmation.  Please request appointments at least 24 hours in advance.

First Name

Last Name

  

Department

Phone

  

E-mail  

  

Month  

Day  

Time 

  

Assistance Needed

Length of Appointment Requested

       

 

Copyright 2002, Center for Instructional Development
Clayton State University
This page updated 09/28/2006