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| Personal Information | ||
Student ID #: |
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| Name: | |
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Local Address: |
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Local Phone: |
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Position Applied For: (Specific Subject or Course) |
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| Classification: | Freshman Sophmore Junior Senior |
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| Cumulative GPA: | |
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| Major: | |
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| Major GPA: | |
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| Educational Background |
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High School: |
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Previous College: (If Applicable) |
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| Employment History |
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| Are you presently working for another department on campus? Yes No |
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| If yes, list the department(s): | ||
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| Previous tutoring experience: | ||
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| Anticipated involvement in campus/work activities next term (includes hobbies, clubs, organizations, part-time employment, etc.): | ||
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| Honor societies, professional memberships, honors/awards (list membership and offices held): | ||
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| 1. Why are you interested in this position and why do you feel you would be a good choice? |
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| 2. What advice would you give to freshmen that would help them become successful students? |
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| 3. What is your definition of academic success? |
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| Academic References |
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Name: Relationship: |
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Address: Phone: () - |
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Name: Relationship: |
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Address: Phone: () - |
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| I hereby attest that all the information stated in the application to be truthful and accurate. | ||
| Signature Date: _____/_____/________ |
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