Application for Peer Tutor Service

Application for Peer Tutor Service

The Peer Tutoring Program is available to students who require assistance in a particular subject or skill area. The student will be able to choose from a list of approved tutors who have demonstrated competence in the same subject or skill area.

Please note that all correspondence from Student Learning and Transitions, including Peer Tutor information, will occur via your Nipissing University e-mail account.

The student receiving Peer Tutoring Services is required to pay a non-refundable fee (exceptional circumstances considered) of $50.00 at the Student Financial Services office (F216) which covers four (4) hours of tutoring. Prior to receiving services, a contract with the Peer Tutor must be signed and the Student Learning Services office (B210) must receive proof of payment.

If the peer tutoring fees will be covered by an external party, please have the External Funding Authorization Form completed in order for Student Financial Services to invoice the third party. This completed form should be brought to Student Learning Services as proof of payment to initiate the tutoring contract.​​​​​

Personal Information

Please check all that apply
Please check all that apply
(parents did not attend a post-secondary institution)
(from a College or another University)
(at least 20 years old and have been away from formal education for at least two years)
(First Nation, Metis and Inuit)

Academic Status

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Course Identifiers

Identify the course(s) (by code) for which you are requesting Peer Tutoring services. If you are requesting help with your writing skills, list "writing" in the course code column below.
Do you require tutoring services for another course?

2. Course Identifiers

2. Do you require tutoring services for another course?

3. Course Identifiers

Confidentiality and Terms of Agreement
  • I understand that Academic Skills Program staff or my Peer Tutor may need to consult with my course instructor, and I give permission for this contact to occur.
  • I understand that Academic Skills Program staff will contact me to provide me with Peer Tutor information and to ensure my satisfaction with the program, and I give my permission for this to occur.
  • I have read and understand the Protection of Privacy Statement as written below.

Protection of Privacy

The personal information on this form is collected under the authority of the Nipissing University Act, 1992. It is related directly to and needed by the University to provide academic skills and/or peer tutoring services to students registered at the university. The information will be used only by employees of the Office of Student Development and Services and will not be disclosed to any third party without your written consent. If you have any questions about the collection, use, and disclosure of this information please contact Student Learning and Transitions, Nipissing University, 100 College Drive, North Bay, ON P1B 8L7, (705) 474-3450 ext. 4459.