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HCC Main Campus
10901 Little Patuxent Parkway
Columbia MD, 21044
Laurel College Center
312 Marshall Avenue, Suite 205
Laurel, MD 20707
Training & Development Solution
Maryland Innovation Center
6751 Columbia Gateway Drive
Columbia MD 21046
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Tutoring Registration

Please fill out this form completely. Delays may result if all information is not completed.

If this is your first time requesting tutoring, you need to fill out two forms: 1) Learning Assistance Center (LAC) Registration Form, and 2) Learning Assistance Center (LAC) Tutoring Application Form. If you have had tutoring before, you ONLY need to fill out the Learning Assistance Center Tutor Application form.

This is confidential information and will be kept in a student folder contained in the Student Support Services office. HCC offers free group tutoring to all credit students, however, this information is used to determine how the college will pay for your tutoring services and whether you can receive more extensive services (i.e. individual tutoring) offered by Student Support Services or Vocational Support programs.

Gender
Is English your first language?
Are you a U.S. citizen or a *Permanent Legal Resident?
Ethnic/Racial background
Do you plan to transfer?
Do you have any disabilities? (i.e. learning, physical, emotional/psychiatric)
If yes, are they documented?
Are you a veteran?
Did you apply for financial aid to attend HCC?
Did you receive any financial aid from HCC to attend college?
If yes, check all that apply
Do you receive financial assistance from any of the following agencies? (check all that apply)
Are you
After the age of 14, did you reside with:
What is their highest education level?
Sign and Certify
To be completed by applicant ONLY if requested for grant funded program eligibility.
I hereby certify that the information stated on this application is true and correct to the best of my knowledge. I give my permission to authorize the release of information concerning program eligibility, financial aid award, academic progress (mid-term and final grades), need for services, transcripts, etc. I further understand that this information will be used for federal reporting purposes as required by program regulations.

 

Learning Assistance Center, Room: RCF-340
Howard Community College
10901 Little Patuxent Parkway
Columbia, MD 21044

Phone: 443.518.1320
Fax: 443.518.4092

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