USM WRITING CENTER ORIENTATION / CLASS VISIT
INSTRUCTOR REQUEST FORM
Cook Library 112
*Please fill out the following form, save as a word document or PDF, and email to
Eugene.Gordon@usm.edu
Instructor Name: __________________________________________ Phone: ________________________
Course name and number: ____________________________________ Number of Students: ________
Location of class (building and room number): ______________________________________________
Time and days of class: _________________________________________________________________
Preferred dates of Writing Center orientation (please list at least 2):
___________________________________________________________________________________________
____________________________________________________________________________________________
Which type of Writing Center Orientation do you prefer: A
or B
A. I would like to have a Writing Center tutor to come to my classroom
B. I would like to bring my class to The Writing Center for an in-center tour and orientation
(Recommended)
Special Requests and/or Comments:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Requests for additional classes:
Course name and number: _________________________________ Number of Students: ____________
Location of class (building and room number): _______________________________________________
Time and days of class: _____________________________________________________________________
Preferred dates of Writing Center orientation (please list at least 2):
____________________________________________________________________________________________
____________________________________________________________________________________________
Please choose which type of Writing Center Orientation you prefer: A
or B
A. I would like to have a Writing Center tutor to come to my classroom
B. I would like to bring my class to The Writing Center for an in-center tour and orientation
Special Requests and/or Comments:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
CONTACT: Gene’O Gordon, Writing Center Coordinator.
266-4644, Eugene.Gordon@usm.edu