Last Name: First Name: Initial:
ID Number: E-Mail Address:
Phone: Permanent Phone:
Address:
City: State: Zip Code:
Major: GPA(major): GPA(Overall):
Class: Freshman Sophmore Junior Senior ; # of Units COMPLETED: # of Quarters at UCI:
Are you a Transfer Student: NO YES
If hired, would you be able to prove that you are eligible to be employed in the United States? Yes No
Subjects in which you are qualified to tutor (Please list in order of preference):
Course Name: Grade: Professor: Where Taken: When Taken:
1. How did you learn of LARC'S need for qualified tutors?
2. Why are you interested in becoming a LARC tutor?
3. What do you believe the tutor's role should be?
4. What can you contribute to the education of students in your tutoring groups?
5. What do you believe some of the obstacles are that impede student's academic achievement? What would you suggest to help overcome these obstacles?
6. Describe your previous tutoring, teaching, or counseling experience.
7. Describe any jobs you have held that relate to your major.
8. Please include any additional helpful information.
9. List two references at UCI (Faculty, staff, administrators) and their departments: 1) 2)
Print Two Tutor Reference Sheets and give them to the above persons. Ask them to return the reference sheets to the LARC office located on the Fourth Floor of the Social Science Tower.
Also, please submit a copy of your most recent UCI transcript to the LARC office located on the Fourth Floor of the Social Science Tower.