Application for Being a Tutor

Name    Student ID Number
Street Address
City State Zip Code

Home Phone Alternate Phone
Email Address * Required Entry

The Learning Center staff will be contacting you via email.

Do you have work study as financial aid? Yes  No

How many hours would you like to work?

How did you hear about the Learning Center?

List courses you have successfully completed and feel qualified to tutor.

Course # Grade Professor

Course # Grade Professor

Course # Grade Professor

Please indicate the day and the hours that you are free to tutor.

Tutor Availability Info

Monday/Time Available:

Tuesday/Time Available:

Wednesday/Time Available:

Thursday/Time Available:

Friday/Time Available:

Thank you for completing this form in its entirety. If you do not hear from us with in 48 hours, please contact us at 920.832.2620.