Required information is marked with an *asterisk.
*Name:
*Falcon ID:
*Term:
Fall
J-Term
Spring
Summer
Address: (include apartment or unit number)
City:
State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Phone: Cell:
*Email:
Major: Minor: GPA:
Class Status: Freshman Sophomore Junior Senior Graduate Student Other If other, please specify:
Have you tutored anywhere else previously? Yes No If yes, what subjects?
I agree to a review of my academic record via my unofficial transcript. Yes No
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.
Course Number
Course Name
Professor's Email Address(es) for Recommendation (only 1 per department)
I can tutor at least 4 hrs. per week including weekends. Yes No
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 tutoring@uwrf.edu
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