First Name:

Last Name:

E-mail:

Class standing: 1st year  2nd year  3rd year  4th year

Phone number:

KC Box:

***Please list in the box below the course(s) you are interested in tutoring:

Approximate number of tutoring hours available per week:

Best times for you to meet with a student:

Are you willing to tutor more than one student at the same time (group)?
Yes No
 

Previous experience:
 

Academic Department Endorsement:
For each department you are willing to tutor, please supply the name of a department faculty member who can vouch for your working knowledge of the material in the course(s) you listed above.

Any additional information you wish to add: