Collaborative Learning Center Classroom/Center Visit Request Form

Please fill out the form below to schedule a classroom/center visit.
The information provided here is secure and confidential.
A classroom visit involves a CLC tutor coming to your class and speaking to your students.
A center visit entails you bringing your students over to the CLC in room 1C18.

First and last name

What is your email address?

Classroom/Center Visit Scheduling

I am requesting a

Classroom visit
Center visit

Provide the course title and section:

Provide the class room number:

Please provide a date and time for the classroom/center visit:

Additional requests? Specify below

Scheduling multiple classroom/center visits: a separate form must be filled out for each classroom/center visit.