University Of California, Irvine
Learning and Academic Resource Center
Social Science Tower, Fourth Floor
Irvine, California 92697-3850
(949) 824-6451       FAX # (949) 824-7559

Tutor Application

Last Name:______________________________  First Name:________________________  Initial: ___________

ID Number:____________________________ E-Mail Address: ________________________________________

Phone: ____________________________Permanent Phone: __________________________________________

Address: ____________________________________________________________________________________

City: ___________________________________  State:__________________   Zip Code: __________________

Major: _______________________________  GPA(major): _____________GPA(Overall): ___________________

Class:______________________    # of Units COMPLETED: __________# of Quarters at UCI: ______________

Are you a Transfer Student? ___ yes ___no

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:

1.  Course Name: _____________________________________ Grade: ___  Professor: ____________________

2.  Course Name: _____________________________________   Grade: ___  Professor: ___________________ 3.  Course Name: _____________________________________   Grade: ___  Professor: ___________________ 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:

Print two Tutor Reference Sheets and give them to the above persons.  Ask them to return these to the LARC office located on the Fourth Floor of the Social Science Tower.
Submit a copy of your most recent UCI transcript along with this application form to the LARC office located on the Fourth Floor, Social Science Tower.
Non-Discrimination in Employment:
Within the limits imposed by law or University regulations, the University shall not discriminate against or harass
any ASE (Academic Student Employee) on the basis of race, color, religion, marital status, national origin,
ancestry, sex, sexual orientation, physical or mental disability, medical condition, HIV status, status as a covered
veteran, age, citizenship, political affiliation and union activity.