Porterville College Learning Center Services Referral Form (Faculty/Counselor):

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Please fill out the below form. In order for a student to receive tutoring services in the Porterville College Learning Center, State Education Code {Title 5, Section 58170(e)} requires students be referred by their instructor or counselor based on an identified learning need. Once you complete the form, the student will be matched with the appropriate tutoring, mentoring, technology trouble-shooting, PASS Leader sessions or a combination of all services. Thank you!

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Instructor Name *

Instructor Email Address *

Do you have multiple students you would like to refer to Learning Center Services? *

Yes

No - only one student needs to be referred

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