COM OMS 1_FIRST-YEAR DPT, OT_MAMS STUDENT APPLICATION TO RECEIVE TUTORING SERVICES

APPLICATION TO REQUEST

TUTORING SERVICES
Your interest in pursuing tutoring at PNWU is a great step toward enhanced academic development. At PNWU we strive daily to provide the very best academic offerings and enrichment to our students. All students need some sort of academic support, and there are times when it is desirable that the support come through more formal channels, such as tutoring.

Your application to seek tutoring is valued by the University and we are committed to connect you to tutors who will assist you in a structured, organized, and timely manner. Based on this philosophy we ask that you read, fill-out and agree to the following premises of the PNWU near-peer tutoring program.
Student Name:*

First NameLast Name
PNWU Student Email Address*
example@example.com
PNWU Student Email Address
Are you a DO, DPT, MAMS, or OT student?*

DO studentDPT studentMAMS studentOT student
What year of your program are you currently in?

First yearSecond yearThird year
Below are three drop-down menus listing all academic courses in your program. You may select up to three courses for which you would like to receive tutoring. Please select your top choice first, your next choice second, etc.
Please select your first DO course preference.
Please select your first DO course preference.*

ANAT 505/506 - Gross & Developmental Anatomy and Basic Neuroanatomy LABANAT 505/506 - Gross & Developmental Anatomy and Basic Neuroanatomy LECTUREBIOMED 501 - Scientific Foundations of MedicineFM 501/502 - The Art of Clinical Practice IOPP 501/502 - Osteopathic Principles & Practice I LABOPP 501/502 - Osteopathic Principles & Practice I LECTUREPHARM 599 - Fundamentals of PharmacologyCLIN 504 - Musculoskeletal & Integumentary SystemCLIN 510 - Cardiovascular SystemCLIN 512 - Respiratory SystemCLIN 603 - Genitourinary/Reproductive SystemCLIN 604 - Board Exam PrepCLIN 616 - Renal SystemCLIN 618 - Behavioral MedicineCLIN 625 - Hematology/Oncology SystemCLIN 627 - Gastrointestinal SystemCLIN 629 - Endocrine SystemCLIN 628 - Nervous SystemFM 601/602 - Art of Clinical Practice IIOPP 601/602 - Osteopathic Principles & Practice II LABOPP 601/602 - Osteopathic Principles & Practice II LECTURE
Please select your second DO course preference.
Please select your second DO course preference.

ANAT 505/506 - Gross & Developmental Anatomy and Basic Neuroanatomy LABANAT 505/506 - Gross & Developmental Anatomy and Basic Neuroanatomy LECTUREBIOMED 501 - Scientific Foundations of MedicineFM 501/502 - The Art of Clinical Practice IOPP 501/502 - Osteopathic Principles & Practice I LABOPP 501/502 - Osteopathic Principles & Practice I LECTUREPHARM 599 - Fundamentals of PharmacologyCLIN 504 - Musculoskeletal & Integumentary SystemCLIN 510 - Cardiovascular SystemCLIN 512 - Respiratory SystemCLIN 603 - Genitourinary/Reproductive SystemCLIN 604 - Board Exam PrepCLIN 616 - Renal SystemCLIN 618 - Behavioral MedicineCLIN 625 - Hematology/Oncology SystemCLIN 627 - Gastrointestinal SystemCLIN 629 - Endocrine SystemCLIN 628 - Nervous SystemFM 601/602 - Art of Clinical Practice IIOPP 601/602 - Osteopathic Principles & Practice II LABOPP 601/602 - Osteopathic Principles & Practice II LECTURE
Please select your third DO course preference.
Please select your third DO course preference.

ANAT 505/506 - Gross & Developmental Anatomy and Basic Neuroanatomy LABANAT 505/506 - Gross & Developmental Anatomy and Basic Neuroanatomy LECTUREBIOMED 501 - Scientific Foundations of MedicineFM 501/502 - The Art of Clinical Practice IOPP 501/502 - Osteopathic Principles & Practice I LABOPP 501/502 - Osteopathic Principles & Practice I LECTUREPHARM 599 - Fundamentals of PharmacologyCLIN 504 - Musculoskeletal & Integumentary SystemCLIN 510 - Cardiovascular SystemCLIN 512 - Respiratory SystemCLIN 603 - Genitourinary/Reproductive SystemCLIN 604 - Board Exam PrepCLIN 616 - Renal SystemCLIN 618 - Behavioral MedicineCLIN 625 - Hematology/Oncology SystemCLIN 627 - Gastrointestinal SystemCLIN 629 - Endocrine SystemCLIN 628 - Nervous SystemFM 601/602 - Art of Clinical Practice IIOPP 601/602 - Osteopathic Principles & Practice II LABOPP 601/602 - Osteopathic Principles & Practice II LECTURE
Please select your first DPT course preference.
Please select your first DPT course preference.

PHTH 500 Foundations of Clinical Practice IPHTH 501 Foundations of Clinical Practice IIPHTH 505 Gross AnatomyPHTH 506 Applied NeurosciencePHTH 510 Lifespan DevelopmentPHTH 512 Movement Science IPHTH 513 Movement Science IIPHTH 514 Exercise PhysiologyPHTH 515 Intro to PathophysiologyPHTH 516 Applied PathophysiologyPHTH 520 Professional and Interprofessional Practice IPHTH 521 Professional and Interprofessional Practice IIPHTH 543 Integrated Rural Clinic Outreach IPHTH 545 Evidence Informed PracticePHTH 550 Clinical Competence in Patient Management IPHTH 600 Clinical Experience IPHTH 602 Foundations of Clinical Practice IIIPHTH 607 Neurological Movement System IPHTH 608 Neurological Movement System IIPHTH 620 Musculoskeletal Movement System IPHTH 621 Musculoskeletal Movement System IIPHTH 622 Professional and Interprofessional Practice IIIPHTH 625 Cardiopulmonary Movement SystemPHTH 626 Managment of Select Populations IPHTH 635 Clinical Reasoning IPHTH 644 Integrated Clinical Practice IPHTH 645 Integrated Clinical Practice IIPHTH 646 Capstone IPHTH 647 Capstone IIPHTH 650 Clinical Competence in Patient Management IIPHTH 700 Clinical Experience IIPHTH 709 Pediatric Physical TherapyPHTH 722 Geriatric Physical TherapyPHTH 723 Administration and LeadershipPHTH 727 Management of Select Populations IIPHTH 736 Clinical Reasoning IIPHTH 746 Integrated Rural Clinic Outreach IIPHTH 748 Capstone IIIPHTH 750 Clinical Competence in Patient Management IIIPHTH 790 Clinical Experience III
Please select your second DPT course preference.
Please select your second DPT course preference.

PHTH 500 Foundations of Clinical Practice IPHTH 501 Foundations of Clinical Practice IIPHTH 505 Gross AnatomyPHTH 506 Applied NeurosciencePHTH 510 Lifespan DevelopmentPHTH 512 Movement Science IPHTH 513 Movement Science IIPHTH 514 Exercise PhysiologyPHTH 515 Intro to PathophysiologyPHTH 516 Applied PathophysiologyPHTH 520 Professional and Interprofessional Practice IPHTH 521 Professional and Interprofessional Practice IIPHTH 543 Integrated Rural Clinic Outreach IPHTH 545 Evidence Informed PracticePHTH 550 Clinical Competence in Patient Management IPHTH 600 Clinical Experience IPHTH 602 Foundations of Clinical Practice IIIPHTH 607 Neurological Movement System IPHTH 608 Neurological Movement System IIPHTH 620 Musculoskeletal Movement System IPHTH 621 Musculoskeletal Movement System IIPHTH 622 Professional and Interprofessional Practice IIIPHTH 625 Cardiopulmonary Movement SystemPHTH 626 Managment of Select Populations IPHTH 635 Clinical Reasoning IPHTH 644 Integrated Clinical Practice IPHTH 645 Integrated Clinical Practice IIPHTH 646 Capstone IPHTH 647 Capstone IIPHTH 650 Clinical Competence in Patient Management IIPHTH 700 Clinical Experience IIPHTH 709 Pediatric Physical TherapyPHTH 722 Geriatric Physical TherapyPHTH 723 Administration and LeadershipPHTH 727 Management of Select Populations IIPHTH 736 Clinical Reasoning IIPHTH 746 Integrated Rural Clinic Outreach IIPHTH 748 Capstone IIIPHTH 750 Clinical Competence in Patient Management IIIPHTH 790 Clinical Experience III
Please select your third DPT course preference.
Please select your third DPT course preference.

PHTH 500 Foundations of Clinical Practice IPHTH 501 Foundations of Clinical Practice IIPHTH 505 Gross AnatomyPHTH 506 Applied NeurosciencePHTH 510 Lifespan DevelopmentPHTH 512 Movement Science IPHTH 513 Movement Science IIPHTH 514 Exercise PhysiologyPHTH 515 Intro to PathophysiologyPHTH 516 Applied PathophysiologyPHTH 520 Professional and Interprofessional Practice IPHTH 521 Professional and Interprofessional Practice IIPHTH 543 Integrated Rural Clinic Outreach IPHTH 545 Evidence Informed PracticePHTH 550 Clinical Competence in Patient Management IPHTH 600 Clinical Experience IPHTH 602 Foundations of Clinical Practice IIIPHTH 607 Neurological Movement System IPHTH 608 Neurological Movement System IIPHTH 620 Musculoskeletal Movement System IPHTH 621 Musculoskeletal Movement System IIPHTH 622 Professional and Interprofessional Practice IIIPHTH 625 Cardiopulmonary Movement SystemPHTH 626 Managment of Select Populations IPHTH 635 Clinical Reasoning IPHTH 644 Integrated Clinical Practice IPHTH 645 Integrated Clinical Practice IIPHTH 646 Capstone IPHTH 647 Capstone IIPHTH 650 Clinical Competence in Patient Management IIPHTH 700 Clinical Experience IIPHTH 709 Pediatric Physical TherapyPHTH 722 Geriatric Physical TherapyPHTH 723 Administration and LeadershipPHTH 727 Management of Select Populations IIPHTH 736 Clinical Reasoning IIPHTH 746 Integrated Rural Clinic Outreach IIPHTH 748 Capstone IIIPHTH 750 Clinical Competence in Patient Management IIIPHTH 790 Clinical Experience III
Please select your first MAMS course preference.
Please select your first MAMS course preference.

BIOMED 505 Medical Skills and Theory IBIOMED 507 Biomedical EthicsBIOMED 509 Health Professions IBIOMOED 511 Scientific Foundations of MedicineBIOMED 506 Medical Skills and Theory IIBIOMED 508 Research Theory and TechniquesBIOMED 510 Health Professions IIBIOMED 512 Foundations of Personalized Medicine
Please select your second MAMS course preference.
Please select your second MAMS course preference.

BIOMED 505 Medical Skills and Theory IBIOMED 507 Biomedical EthicsBIOMED 509 Health Professions IBIOMOED 511 Scientific Foundations of MedicineBIOMED 506 Medical Skills and Theory IIBIOMED 508 Research Theory and TechniquesBIOMED 510 Health Professions IIBIOMED 512 Foundations of Personalzied Medicine
Please select your third MAMS course preference.
Please select your third MAMS course preference.

BIOMED 505 Medical Skills and Theory IBIOMED 507 Biomedical EthicsBIOMED 509 Health Professions IBIOMOED 511 Scientific Foundations of MedicineBIOMED 506 Medical Skills and Theory IIBIOMED 508 Research Theory and TechniquesBIOMED 510 Health Professions IIBIOMED 512 Foundations of Personalzied Medicine
Please select your first MSOT course preference.
Please select your first MSOT course preference

OTH 500 Human Capacities IOTH 505 Foundations of Inquiry IOTH 510 Introduction to Occupation and Occupational TherapyOTH 515 Psychosocial Processes Across the Life CourseOTH 520 Professional SeminarOTH 525 Human Capacities IIOTH 530 Occupation-Based Interventions I: Infants, Children, and AdolescentsOTH 535 Environment, Technology, and OccupationOTH 540 Foundations of Inquiry IIOTH 545 Level IA Fieldwork: Infants, Children, and AdolescentsOTH 550 Occupation-Based Interventions II: AdultsOTH 555 Occupation-Based Health Promotion and Chronic Condition ManagmentOTH 560 Level IB Fieldwork: Adults and Older AdultsOTH 565 Level IC Fieldwork: Non-TraditionalOTH 570 Professional Seminar IIOTH 605 Occupation-Based Interventions III: Older AdultsOTH 610 Managmeent and EntrepreneurshipOTH 615 Foundations of Inquiry IIIOTH 625 Fieldwork ID: Mental HealthOTH 635 Level 2 Fieldwork AOTH Level II Fieldwork B
Please select your second MSOT course preference.
Please select your second MSOT course preference

OTH 500 Human Capacities IOTH 505 Foundations of Inquiry IOTH 510 Introduction to Occupation and Occupational TherapyOTH 515 Psychosocial Processes Across the Life CourseOTH 520 Professional SeminarOTH 525 Human Capacities IIOTH 530 Occupation-Based Interventions I: Infants, Children, and AdolescentsOTH 535 Environment, Technology, and OccupationOTH 540 Foundations of Inquiry IIOTH 545 Level IA Fieldwork: Infants, Children, and AdolescentsOTH 550 Occupation-Based Interventions II: AdultsOTH 555 Occupation-Based Health Promotion and Chronic Condition ManagmentOTH 560 Level IB Fieldwork: Adults and Older AdultsOTH 565 Level IC Fieldwork: Non-TraditionalOTH 570 Professional Seminar IIOTH 605 Occupation-Based Interventions III: Older AdultsOTH 610 Managmeent and EntrepreneurshipOTH 615 Foundations of Inquiry IIIOTH 625 Fieldwork ID: Mental HealthOTH 635 Level 2 Fieldwork AOTH Level II Fieldwork B
Please select your third MSOT course preference.
Please select your third MSOT course preference

OTH 500 Human Capacities IOTH 505 Foundations of Inquiry IOTH 510 Introduction to Occupation and Occupational TherapyOTH 515 Psychosocial Processes Across the Life CourseOTH 520 Professional SeminarOTH 525 Human Capacities IIOTH 530 Occupation-Based Interventions I: Infants, Children, and AdolescentsOTH 535 Environment, Technology, and OccupationOTH 540 Foundations of Inquiry IIOTH 545 Level IA Fieldwork: Infants, Children, and AdolescentsOTH 550 Occupation-Based Interventions II: AdultsOTH 555 Occupation-Based Health Promotion and Chronic Condition ManagmentOTH 560 Level IB Fieldwork: Adults and Older AdultsOTH 565 Level IC Fieldwork: Non-TraditionalOTH 570 Professional Seminar IIOTH 605 Occupation-Based Interventions III: Older AdultsOTH 610 Managmeent and EntrepreneurshipOTH 615 Foundations of Inquiry IIIOTH 625 Fieldwork ID: Mental HealthOTH 635 Level 2 Fieldwork AOTH Level II Fieldwork B
Type a question
For the courses you selected, if you have a preference, indicate if you prefer 1:1 or small group (no more than 5 tutees) tutoring. If you prefer the same format for all courses selected, please check one of the boxes below. If you prefer different modes for different courses, list both the course name and which mode of tutoring you prefer in "Other." Every effort will be made to honor your preference, but it cannot be guaranteed. If this is left blank, it will be assumed you do not have a preference.*

1:1 TutoringSmall GroupOther
Additional Comments:
NOTE: If you would like tutoring in more than three courses, please contact Ms. Ashley Bray, Director of Student Success and Disability Services, at abray@pnwu.edu, 509-249-7912, or BHH 315.
Briefly describe your expectations for tutoring.*
To ensure the development of a quality and accountable tutoring program, the University would like both the tutor and the tutee to consider the following professional expectations on each end of this educational relationship:

The professional expectations of the tutor are:
1. Be on time for all tutoring sessions.
2. Pre-plan the structure of the tutoring session.
3. Come to all tutoring sessions prepared and ready to teach at the time the session is scheduled to begin.
4. Show respect for the tutees' time by providing 24-hour notice of cancellation of a session to the tutees.
5. Complete and submit Paylocity timesheets by the designated deadlines.
6. Represent the University and its mission statement in a professional manner, as a University employee.
7. Submit to the Learning Skills Specialist Weekly Tutoring Reports of all tutoring sessions with all tutees, as well as evaluation of tutoring activities when requested.
The professional expectations of the tutee are:
1. Be on time for all tutoring sessions.
2. Follow the suggestions provided by the tutor.
3. Come to all tutoring sessions with organized ideas of where you need assistance, and ready to learn at the time the session is scheduled to begin.
4. Show respect for the tutor’s time and effort in preparing for sessions by providing 24-hour notice of cancellation of a session to the tutor.
5. Submit to the Learning Skills Specialist evaluations of tutors when requested.
I have read the above guidelines for participating in the PNWU Tutoring Program and agree to the terms and precepts that are outlined. Please type your name in the box. This serves as your signature agreeing to the above guidelines.*
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