Add/Drop Form

Use this form to sign up for Education 150 which will allow you access to tutoring (both online and on campus) and to the computer lab on campus. You will need to give your name, social security number, and signature and date to sign up for this program.  Remember that you are certifying under penalty of perjury that the following information is correct when you type your name into the signature line of this form.

If you are not comfortable with sending your information electronically, you may print this form and send it to:

Tutorial Services Specialist
Tutorial Division
2700 Barstow Road
Barstow, CA 92311

What is your name? 

What is your email address? 

What are the last four numbers of your Social Security? 

CRN Course Name Units Check Instructor
add drop
80150 ED 150 0 X Kyri Freeman

Please list online class(es) for which you need a tutor:

Is the course being taken:  On campus Online

Your Location:

City State Country

Student Signature: Date:

Counselor Signature: (Not Required for Ed. 150)