MATH TUTOR APPLICATION Please Fill out and Submit to: Student Support Services

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MATH TUTOR APPLICATION
Please Fill out and Submit to:
Student Support Services
2131 Centennial Hall
(608) 785-8535
UW-La Crosse ID #:
First Name
Last Name
Street Address
Street Address Line 2
City
State
Phone Number
Email Address
Are you a First Generation College Student?
(Neither Parent/Guardian, has a four year college degree)
Yes
No
Zip Code
College Enrolled in
Current GPA:
Major (s)
Minor (s)
College Status for the Upcoming Academic Year
Sophomore
Junior
Senior
Expected Date of Graduation: (Month/Year)
Do You Have Previous Tutoring Experience?
Yes
No
If yes, briefly describe where, and what subjects you tutored:
How many hours would you prefer to work each week?
Please list the Math Courses taken at UW-L including the professor and grade earned:
(MTH 145, Dr. Reineke, A/B; MTH 151...etc)
Please provide one Math faculty reference, including Email and Phone Number
Please HONESTLY asses how comfortable you are in tutoring in the following courses ( 1
being not comfortable, 3 being fairly familiar, and 5 being extremely comfortable)
1
2
Math 050 and 051: Remedial Math
Math 145: Statistics
Math 150: College Algebra
Math 151: Pre-Calculus
Math 175: Applied Calculus
Math 207: Calculus I
Math 208: Calculus II
Math 225: Logic
PPST (Standardized Test-Math)
GRE - Quantitative Section
Please list any other math courses you feel comfortable tutoring
3
4
5
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