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Application for Tutoring Position
Registration Form
(Items with * must be filled or checked for application.)
PERSONAL DATA
Today's Date:
12/1/2008
*First Name:
*Last Name:
*Local Address:
*City:
*State:
- -
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*Zip Code:
*WCU Student ID:
*Phone Number:
-
-
*E-Mail Address:
*Number of Hours:
( 5 - 20 hours/week )
*Semester you desire employment
:
Fall
Spring
Summer
Home Address:
(if different from above)
Home Phone:
-
-
EDUCATION RECORD
*Current Classification
:
Freshman
Sophomore
Junior
Senior
Other
*Major/Program
:
*Department
:
*Cumulative G.P.A
.:
(Minimum undergrad 2.75 / grad 3.25 )
Attach a recent transcript of grades if not a WCU student
:
Other College/University
:
Dates attended
:
Degree or Diplomas:
Major(s):
*High School
:
*Dates attended:
Other Educational/Academic Experiences
:
EMPLOYMENT HISTORY
Are you presently working in another department on campus
?
Yes
No.
If yes, please list department(s):
Previous Tutoring Experiences
-- list subject(s), dates, employer.
(
Leave blank if not applicable.
)
Subject
Dates
Employer
1.
2.
3.
Other Employment
-- list employer, position(s), dates.
(
Leave blank if not applicable.
)
Employer
Position
Dates
1.
2.
3.
You may also attach a recent resume
:
Anticipated Involvement in Campus/Work Activities Next Semester
(include hobbies, clubs, organizations, other employment -- list membership and offices held):
*
Check the courses you are able to tutor
.
You must have earned at least an A- in the course you intend to tutor. See the Undergraduate Bulletin or WCU's website (
www.wcupa.edu
) for course descriptions.
ACC-201
CHE-232
GER-102
MAT-110
PHY-180
ACC-202
CSC-110
GER-201
MAT-121
PSY-100
ANT-102
CSC-141
GER-202
MAT-151
PSY-245
BIO-100
CSC-142
GEO-101
MAT-161
PSY-246
BIO-110
ECO-111
HIS-150
MAT-162
RUS-101
BIO-230
ECO-112
HIS-151
MAT-Q00
RUS-102
BIO-259
ECO-251
MAT-101
MAT-Q01
SOC-200
BIO-269
ECO-252
MAT-102
MTC112-215
SPA-101
CHE-103
FRE-101
MAT-103
PHI-101
SPA-102
CHE-104
FRE-102
MAT-104
PHY-100
SPA-201
CHE-107
FRE-201
MAT-105
PHY-130
SPA-202
CHE-230
FRE-202
MAT-107
PHY-140
SPK-208
CHE-231
GER-101
MAT-108
PHY-170
WRT-120
Other courses:
Identify two faculty members in the area(s) in which you wish to tutor who can provide a recommendation.
In addition, please have them complete one of the
attached recommendation forms
and mail or fax the form directly to the LARC.
*Name:
*Dept.:
*Phone:
-
-
*Name:
*Dept.:
*Phone:
-
-
* I
waive
retain
the right to view the recommendation.
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