Required information is marked with an *asterisk.
(include apartment or unit number)
District of Columbia
If other, please specify:
Have you tutored anywhere else previously?
If yes, what subjects?
I agree to a review of my academic record via my unofficial transcript.
List specific course numbers and names.
Only one professor recommendation per department is needed.
A copy of this form will automatically be sent by email to the professor(s) who will submit a recommendation form. Be sure to include the professor's email address where appropriate.
Professor's Email Address(es) for Recommendation
(only 1 per department)
I can tutor at least
4 hrs. per week including weekends.
The maximum hours I can tutor is
hours per week.
What hours are you available during each day, including weekends?
Please list ALL the times you are available to tutor for an hour session:
My top 4 times (day and time, e.g., Monday 3:30-4:30):
All my other available times:
What attracts you to tutoring?
What are the responsibilities of a tutor?
What skills or qualities do you possess that would make you an effective tutor?
Describe some strategies or techniques you have used to help others learn.
Questions? Call 715-425-3531 or e-mail firstname.lastname@example.org
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