Please indicate period for which you are applying to be a Peer Tutor Academic Term * - Select -FallSpringSpring & Fall First Name * MI Last Name * Email Address * CWID * Campus Resident? * - Select -YesNo Cell Phone * Year in School * - Select -12345 Status * - Select -UndergraduateGraduateMastersPHD Major * Cumulative GPA * Are you a Co-op student? * - Select -YesNo What semester will you be "on co-op"? - None -FallSpring Have you been awarded Work Study? * - Select -YesNo Will this be your only Work Study job? - None -YesNo If yes, what department do you work for? If yes, what is the name of your supervisor? Do you have previous college tutoring experience? * - Select -YesNo If yes, what course/s did you tutor? Have you ever been employed as a STEP tutor? * - Select -YesNo If yes, when? From Year Year20112012201320142015 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 To Year Year20112012201320142015 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Select the courses you are interested in tutoring. * MA 115 CH 115 PEP 221 E 243 CS 115 MA 116 CH 117 PEP 242 E 245 MA 221 CH 281 E 115 E 342 MA 222 PEP 111 E 126 E 344 MA 227 PEP 112 E 234 CS 105 Maximum number of students to be assigned to you at the same time * - Select -12345 or more Signature * Date * Year Year20112012201320142015 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031
