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Peer Academic Writing Mentor Tutorial Registration Form

First Name
Surname
Student ID Number
Gender
Date of Birth
Phone number
Are you an International student?
Nationality
First language
Do you have a disability?
If yes, please give details
If you have a Learning Support Plan, are you happy for the mentor to see a copy of this information before the one-to-one appointment?
Degree title
Year of study
Which of the following would you like to discuss in your one-to-one?(Please note the mentor will use this as a guidance to prepare for your tutorial).
Please provide information about the type of assignment you are focusing on (lit review, research, report, dissertation).
Please provide the title of your assignment.
We offer a Peer Academic Mentoring Service at Hope Park and at Creative Campus. Which campus would you prefer the tutorial slot?
Please list the dates, days of the week and times you are available and we will get in touch with you via your Hope email (please note if you do not list this information we will not be able to book you in for an appointment).
How did you find out about this service? (eg Tutor, support worker, word of mouth, friend, colleague, mentor, librarian)
By submitting this form you are agreeing that you understand the Peer Academic Writing Charter and will abide by these guidelines.