State University of New York at Fredonia, Fredonia, New York 14063

COLLEGE TUTORING SERVICES TUTOR APPLICATION for 2009-2010 Academic Year

Note:  Tutors must be matriculated College at Fredonia students and able to work both Fall and Spring semesters consecutively.

Please type or print legibly.
Last Name            First Name         M.I.                    Fredonia ID:
_________________________________________ _________________________________
Permanent Address (No. and Street)              City, State, Zip Code             Permanent Phone
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Local Address  (Room/Dormitory or Street)     City, State, Zip Code             Local Phone
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Declared/Intended Major: __________________________
Declared/Intended Minor: _________________________

Note: Applicants for English/Writing Tutor positions must have already completed ENGL 455/456.

Current Class Status: (  ) FR   (  ) SO   (  ) JR   (  ) SR

Cumulative G.P.A. : ______________
1. Please list (on a separate sheet) any related experiences which you believe enhance your ability to tutor.
2. Please explain (on a separate sheet) why you decided to apply for a tutoring position.
3. How many hours a week do you plan to devote to another job or internship? _________
4. Are you committed to working a full academic year (Fall 2009/Spring 2010) as a CTS tutor?  Yes __   No __
(if not, explain on a separate sheet)

List the courses/subjects which you feel capable of tutoring. Please include course numbers
Within Your Major
CCC Courses and others outside Your Major

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A.   Please obtain the signatures of two faculty members from your department (major/minor/concentration) who are familiar with your abilities and would be willing to provide a recommendation upon request by College Tutoring Services.

Name _________________________ Signature ______________________________  Dept. _______________

Name _________________________ Signature ______________________________  Dept. _______________
B.   Faculty signature for area outside major/minor department (optional)

Name _________________________ Signature ______________________________  Dept. _______________
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For the purpose of reviewing my academic record, College Tutoring Services may obtain a copy of my transcript from the College Registrar.

Applicant Signature ____________________________________        Date __________________

RETURN COMPLETED APPLICATION TO THE LEARNING CENTER, 4th Floor, Reed Library
Telephone: Learning Center - 673-3550; Educational Development Program - 673-3317