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