SSS Application

Student Support Services Tutor Application
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Class Year

FreshmanSophomoreJuniorSeniorGraduate Student
Major
Minor (if applicable)
G.P.A.
Do you have tutoring experience? If yes, where and when did you tutor?
Please list the courses you are able to tutor.
What is your availability for the fall semester?
Please provide the name of two campus references.
I agree to grant Student Support Services access to my semester and cumulative grade point average for the sole purpose of verifying that I meet the minimum requirements for employment. Student Support Services will preserve strict confidentiality of this information.

By signing below, I agree to the above statement.
Signature

Clear
Should be Empty:

Student Support Services Tutor Application