| * Name:
|
|
| * E-mail:
|
|
| * Local Address: |
|
| * Local City, State, ZIP: |
, |
| Permanent Address: |
|
| Permanent City, State, ZIP: |
, |
| * Local Phone:
|
|
| Permanent Phone:
|
|
| |
|
* Position:
(check all that apply) |
Administrative Assistant
Instructional Assistant
Content Tutor
Murphy Family Study Center Services Coordinator
|
| * Currently enrolled at BC? |
Yes
No |
| Class:
|
|
| Major:
|
|
| Cumulative GPA:
|
|
| Major GPA:
|
|
| Are you currently assigned work-study for the academic year? |
Yes
No |
| Are you currently enrolled at BC? |
Yes
No |
| If yes, what is your primary department?
|
|
| How many hours per week?
|
|
| If you are applying for the content tutor position, what subjects are you most comfortable tutoring?
(in order of preference)
|
|
Tutoring/Academic References
(Please list) |
|
| Do you have previous tutoring experience? |
Yes
No |
| * Name, address, and phone of two references who are familiar with your abilities or can speak on your behalf: |
|
|
|
