Tutor Application

Name: Date:

Current Address:

Home Address:    

Campus Phone or Cell: Home Phone:

Do you have or are you eligible for work study? yes no

How many hours would you like to work per week?

Do you have a car? yes no

Email Address:

Education:

High School:

College: College graduation date:

Credit hours this semester:

Major/Minor: /

Class Status:

Expected Degree: Overall G.P.A.:

Area of tutor competency:

Teaching/Tutoring experience:

Other related experience:

List two local work or school references:

Please check the times that you ARE available to tutor. Check N/A if not available.
Your tutoring hours will be developed according to the schedule below.
Note that tutoring is scheduled during school hours as well as after school, evenings, and weekends.

How do you spend your leisure time (hobbies, interests, etc.)?

What do you think you can contribute to Upward Bound?

I certify that the information contained in this application is true to the best of my knowledge.
Full Legal Name: Date:

You're done!