Math Lab Prospective Tutor Form

Last, First, MI Nickname
Street City State Zip
Employment History (list last or present position first): Present Employer
Former Employer
All information, including transcripts and references, must be completed for applications to be considered. I understand that my references will be checked in order to verify information. If I am selected, the supervisor will review my work at the end of each semester. I will provide an official copy of my transcript from the registrar and submit to tutor evaluations at the conclusion of each semester. If my evaluation indicates poor performance or if I do not maintain a 2/5 GPA, I understand that I will be dismissed. I understand that all information told to me by students will be kept confidential. I will assist faculty, students and staff, and any other duties assigned to me by the supervisor. I understand that my total hours worked for all SJCD departments may not exceed 19.5 hours per week without prior authorization.

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