STATE UNIVERSITY OF NEW YORK
MARITIME COLLEGE
Learning Center – Student Tutor Application
APPLICANT INFORMATION
Last Name
First
M.I.
Street Address
Date
Apartment/Unit #
City
State
Cell
Phone
Available Start
Date
ZIP
E-mail Address
Social Security No.
Class:
Degree/Major:
Are you a citizen of the United States?
YES
NO
If no, are you authorized to work in the U.S.?
Have you ever worked in the Learning
Center?
YES
NO
If so, when?
Are you eligible for Federal Work Study?
YES
NO
YES
NO
EDUCATION
College
From
Address
To
Did you graduate?
College
From
NO
Degree
NO
Degree
NO
Degree
Address
To
Did you graduate?
Other
From
YES
YES
Address
To
Did you graduate?
YES
REFERENCES
Please list two references from campus as well as one professional reference. (College references may be faculty or administrators, not
students.)
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Tutoring Availability
Day
Times
Sunday
Monday
Tuesday
Wednesday
Thursday
Courses Interested in Tutoring
(YOU MUST SUBMIT AN UNOFFICIAL TRANSCRIPT WITH YOUR APPLICATION)
Course Name and Number
Grade Earned
**All applications must be submitted in person to with the Associate Dean, Mr. Will Imbriale (Baylis
Hall, Student Affairs, or the Learning Center Coordinator, Ms. Courtney Collins (Learning Center,
A/B Dorm).
You can also submit via email (ensure unofficial transcript attached) to
learningcenter@sunymaritime.edu.**
YOUR SEMESTER CLASS SCHEDULE AND UNOFFICIAL TRANSCRIPT MUST ACCOMPANY YOUR
APPLICATION.