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How to Become a Tutor

Peer Tutoring Program

Tutor Application

 

Please print this form, complete, and submit it to the ARC.

 

Date: ____________________________________

 

 

Class: ________________________

 
 

Name: ___________________________________________

 

Address: ___________________________________________

 

Major: ________________________

 

 

GPA in Major: ______________

 
 

Phone # : _____________________________

 

 

Cell phone # : _____________________

 

E-mail Address: _________________________

 

Social Security # ____________________________

 

 

Date of Birth: ___________________

 
 

Are you work study? _________________

 

Permanent Address: _____________________________________________

 

Permanent Phone: ________________________________

 

NOTE: If hired, tutors must be willing to participate in tutor training and attend
at least two meetings per semester.

 

 

Subjects & Courses
you are able to tutor
(list in order of preference)

Have you taken this course at Neumann?

With whom?

Grade

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please answer the following questions for each subject/course listed.

 

Have you had prior experience tutoring this subject/course?

 

 

 

 

Awards and Honors received:

______________________________________________________________________

 

___________________________________________________________________

 

_______________________________________________________________________

 

____________________________________________________________________

 

Please list the days and times you are available for tutoring.

________________________________________

 

________________________________________

 

________________________________________

 

 

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