Olga S. Peers Academic Center for Student Athletes
TUTOR APPLICATION
Date: Name:
Address:
City: Zip Code:
Home Phone(w/area code): Work Phone(w/area code):
e Mail:
ACADEMIC INFORMATION Undergraduate Major: Overall Grade Point Average: Graduation Date: If Applicable Graduate Major: Overall Grade Point Average: Graduation Date: Subject areas you are capable of tutoring: Have you ever worked as a tutor before? Yes No If so, where did you tutor? REFERENCES - Please list two faculty or staff references:
ACADEMIC INFORMATION
Undergraduate Major:
Overall Grade Point Average:
Graduation Date:
If Applicable
Graduate Major:
Subject areas you are capable of tutoring:
Have you ever worked as a tutor before? Yes No
If so, where did you tutor?
REFERENCES
Include Name and Phone Number
EMPLOYMENT
Employer:
Employed From______To_____
Title:
Responsibilities:
Do you work elsewhere on campus? Yes No
Home Department:
By signing this application, you are acknowledging that you have a minimum of a 2.5 cummulative grade point average. A 3.0 grade point average in the courses you wish to tutor and have completed sixty (60) semester hours.
Press to submit your application or press to clear your form.
The University of Louisville is an equal opportunity institution and does not discriminate against persons because of race, religion, sex, age, handicap, color or national origin.