COMMUNITY COLLEGE OF AURORA

Tutor/Supplemental Instruction Leader Application

Study Hourly and Work Study

 

 

Name ________________________________________________ SS#_______________________

            Address      ________________________________________________________________

            Phone          ________________________Work/Cell Phone__________________________

            E-Mail         ________________________________________________________________

 

Are you on Academic Probation or Suspension?           Yes      No

Have you been awarded Work Study?              Yes      No

            Previous Work Study positions at CCA__________________________________________

            __________________________________________________________________________

            __________________________________________________________________________

Listing tutoring experience, if any_____________________________________________________

            __________________________________________________________________________

            __________________________________________________________________________

            __________________________________________________________________________

            __________________________________________________________________________

Why are you interested in this position?________________________________________________

            __________________________________________________________________________

            __________________________________________________________________________

            __________________________________________________________________________

            ­­­­­­­­­­__________________________________________________________________________

What advice do you have for students to be successful?____________________________________

            __________________________________________________________________________

            __________________________________________________________________________

            __________________________________________________________________________

            ­­­­­­­­­­__________________________________________________________________________

What three study strategies have helped you be successful?_________________________________

            __________________________________________________________________________

            __________________________________________________________________________

            __________________________________________________________________________

            ­­­­­­­­­­__________________________________________________________________________

 

List the courses you have completed and would be like to tutor:

 

_____________________________________________________  ___________  ______________

Course Name and Number                  Instructor/College                                                Grade Received    Term Completed

 

___________________________________________________      ___________  ______________

Course Name and Number                  Instructor/College                                                Grade Received    Term Completed

 

_____________________________________________________  ___________  ______________

Course Name and Number                  Instructor/College                                                Grade Received    Term Completed

 

___________________________________________________      ___________  ______________

Course Name and Number                  Instructor/College                                                Grade Received    Term Completed

 

__________________________________________________        ___________  ______________

Course Name and Number                  Instructor/College                                                Grade Received    Term Completed

 

 

_____________________________  _______________________  __________________________

Faculty Signature/Date              Phone Number             Courses

 

_____________________________  _______________________  __________________________

Faculty Signature/Date              Phone Number             Courses

 

____________________________    _______________________  __________________________

Faculty Signature/Date              Phone Number             Courses

                                                                                                           

 

 

Thank for you applying for a peer tutoring position. You will be called for an interview should the need arise. Employment is dependent on the need for services, funding and personal interview. This application will be kept on file for one year.

 

I certify that I possess the experience and education for the position for which I am applying. I also certify that all statements, information and documents with this application are true, complete and correct to the best of my knowledge. I understand that omissions, misleading or false information, or any attempt at fraud or deceit in any manner connected with this application may result in not being considered for a tutoring position. If requested, I can and will supply documentation that will confirm the information on this application.

 

_________________________________________________          __________________________

Applicant Signature                                                                                                            Date

 

COORDINATOR USE

 

       Hired    Semester ______________________ Subject _______________________________

            Schedule/Hours per Week_____________________________________________________

            __________________________________________________________________________

__________________________________________________________________________

       Orientation       Date ___________________________

       Training            Date ___________________________

       Human Resources Paperwork on File

       Contract

       Work Study Award ___________________________

       Hourly Rate _________________________________

       Not Hired__________________________________________________________________

            __________________________________________________________________________