meet the staff
support services
leadership opps

Name:     Date:
Address: Student ID#
City/State/Zip
Phone:
Cell Phone:
Email:
STATUS:  FR   SO  JR  SR 
                 GRAD  OTHER:

Current GPA:

MAJOR FIELD OF STUDY:

MINOR:

Please list the courses you are currently registered for:

What subjects are you able to tutor?

Please list any relevant course work you have taken:
Course Year Instructor/Location Grade

Please describe any previous tutoring or teaching experience:

What days and hours would you be available to tutor?
Monday         
Tuesday
Wednesday
Thursday
Friday
Weekends
Please describe your approach to tutoring:

What personal characteristics do you bring to a tutorial session?

Why do you want to be a tutor?

Please list at least three references' names, positions and phone #