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