UNION COUNTY COLLEGE
ACADEMIC LEARNING CENTERS
Please print out this application form and return it to:
PLEASE PRINT: Date: __________________
1. Name: ________________________ E-mail: ____________________
2. Address: __________________________________________________
Street City State Zip Code
3. Phone: _____________________ College Wide ID # _______________
4. Current GPA: ___________________ 5. Credits completed: ______
6. Expected Date of Graduation: _______ 7. Hours/week able to work: _______
8. Are you willing to commit yourself to at least two semesters?
Circle one: Yes No
If "No," please explain: ________________________________________
___________________________________________________________
9. Have you applied for Federal Financial Aid through FAFSA?
Yes _____ No ______ If Yes, have you been approved? Yes _____ No ______
10. Subject(s) in which you are qualified and interested in tutoring. Please indicate grade received for each course.
____________________________________________________________
____________________________________________________________
11. Additional courses in which you have received a B or better.
_____________________________________________________________
_____________________________________________________________
12. Other departments at Union County College where you have worked. Indicate when you were employed or if you are currently working in that department.
_____________________________________________________________
_____________________________________________________________
PLEASE CIRCLE THE APPROPRIATE WORD IN FRONT OF THE FOLLOWING STATEMENTS AS THEY APPPLY TO YOU:
| Yes No |
1. I have had previous tutoring experience at U.C.C. or another college.
|
| Yes No |
2. I am willing to attend and participate in training sessions (paid same rate as tutoring).
|
| Yes No |
3. I am working either outside the college or within the college in addition to my academic course work. If yes, where? __________________________
|
| Yes No |
4. I am willing to work with any student assigned to me.
|
| Yes No |
5. I am willing to work one evening until closing per week. | |
| Please list two professors or professional staff members you feel are familiar with your academic qualifications and your ability to work with people. At least one should be in the department in which you want to tutor. If you are giving the name(s) of a current ALC staff member as a reference, please do so in addition to professional staff members. The ALC will contact these individuals... you need not do so yourself. Please print the names, departments and email addresses, if known, of your references.
NAME & EMAIL ADDRESS POSITION AND DEPARTMENT
1. __________________________________ ______________________________
2. __________________________________ ______________________________
PLEASE ANSWER THE FOLLOWING QUESTIONS. You may use extra paper, if necessary.
Why do you want to be a peer tutor? What are your strengths in relating to people? |