Creighton University :: CSSR :: Tutor Application

Part I: Personal Information and Education

NetID:

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First Name:

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Last Name:

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Phone Number:

*

E-Mail Address:

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Local Address:

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Permanent Address:

*

How do you wish to be contacted?:

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E-Mail

Phone

Text Message

Class Standing:

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Freshman

Sophomore

Junior

Senior

Graduate Student

Intended Major(s):

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Minor(s):

Advisor:

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GPA:

*

Expected Graduation Date:

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Are you work study eligible?:

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Yes

No

Do you work anywhere else on campus?:

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Yes

No

Where else do you work on campus?:

*

Please list your available days and times throughout the week:

*

Part II: Questionnaire/Experience

1. Summarize your teaching and/or tutoring experience:

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2. List your skills that would make you an effective tutor:

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3. List the course(s) you are qualified to tutor. Please provide the department abbreviation and course number:

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4. What is the hardest aspect of learning the subject you wish to tutor?:

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5. What skills would you like to develop further in order to be a better tutor?:

*

Part III: Faculty Reference

Please provide the following information for your faculty reference.

Note: your faculty reference will be contacted using the email address below to evaluate your potential as a tutor. You may want to notify your faculty reference ahead of time so they are expecting this email.

Name:

*

Department:

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E-Mail Address:

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Phone Number:

*

CU-URLcapture

Creighton University

Center for Student Success & Retention

Guidelines