Tutor and SI Application

Student's First Name
Student's Last Name
Preferred Telephone #
Alternative Telephone #
Student ID #
Student E-mail
Campus Address
Permanent Address

Staff are eligible to work for hourly pay or for graded course credits. We encourage students to consider working for course credit. If you would consider credit but need more information, please circle the third choice.

Applying to work (Please choose one)

For pay For credit Need more information
Are you eligible for work-study funds? Yes     No

Class standing as of the semester you wish to work (Please select one)

Fr. Soph. Jr. Sr.

Your Major(s)/Department(s)
Current GPA 
Faculty reference
Faculty department
Applying for:  Tutoring Position SI Leader Position Interested in Either SI or Tutoring
How many hours a week, on the average, can you work?

Please provide the following information to the best of your ability. The information below will guide us in reviewing your application; actual schedules will be negotiated at the beginning of the semester.

Subject area(s) or study skills you wish to tutor or course(s) you are interested in being an SI leader for:
If you are interested in tutoring, please list all courses you have taken in the subject(s) you wish to tutor in:

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