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Required information is marked with an *asterisk.


*Falcon ID:







Local Contact Information:

Address: (include apartment or unit number)




Phone: Cell:


Academic Information:

Major: Minor: GPA:

Class Status: 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

What subjects do you feel capable to tutor in?

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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