University Learning Center
DePaolo Hall 1056
910-962-7857 www.uncw.edu/ulc/si
Supplemental Instruction (SI) Leader Application
What SI Supports . . .
The University Learning Center hires undergraduate and graduate students to facilitate peer-to-peer group study sessions for various gatekeeper
courses in BIO, CHM, NSG, ECN, and FIN. These SI sessions occur in various classrooms on campus in addition to University Learning Center’s
Classroom located in DePaolo Hall. To become an SI Leader you must complete both sides of this application and submit it with an unofficial copy
of your transcript. If your skills are needed, you will be contacted for an interview.
Minimum qualifications
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Upper-class student (sophomore, junior, senior or graduate student).
3.0 cumulative GPA or higher is mandatory.
Successful completion of the courses you wish to lead SI Sessions, with a grade of A or B
International students must have or be willing to obtain a social security number for employment purposes.
General Information
UNCW ID #
Name
(e.g.850123456)
Local Mailing Address
Street
City
State
UNCW e-mail
UNCW PO Box #
Home Phone
Cell Phone
Are you related by blood or marriage to
any person now working for UNCW?
Are you currently employed by another
UNCW Department?
What class are you?
ZIP
□ Yes  If Yes, list their name, relationship to
you and their department.
□ No
□ Yes 
If Yes, which department?
□ No
□ Freshman □ Sophomore □ Junior □ Senior □ Graduate □ Special Undergrad or Non-Degree
Seeking
What is your major?
What is your minor?
When do you expect to graduate?
How did you hear about the ULC?
Which SI supported course(s) are you interested in leading?
Please circle or highlight any of the following SI supported courses in which you have earned a grade of “B” or higher and would feel comfortable
leading sessions.
ECONOMICS
CHEMISTRY
BIOLOGY
NURSING
FINANCE
ECN 221/222
CHM 101
BIO 201
NRS 320
FIN 433
CHM 102
CHM 211
BIO 202
BIO 240 / 241
BIO 246
BIO 335
NSG 335
FIN 335
References
Please list two instructors for each department whose courses you can serve as a leader. Be sure to notify them that we will be contacting them to
serve as your references. The Tutoring and Learning Center will send a Reference Form for each instructor to complete.
Professor’s Name
Department
Course Taken
Semester Taken
Grade Earned
e.g. James Jones
Chemistry
CHM 101
Fall 2009
A
Have you worked with students in any capacity before (paid, volunteer, projects or organizations)? If yes, please describe. Also emphasize any
group tutoring you’ve done in the past.
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How comfortable are you working with students of different backgrounds, skill levels, cultures or levels of motivation? Please give specific examples:
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Is there anything else you would like us to know about you?
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You may continue on an additional sheet of paper.
UNCW is an EEO/AA institution. UNCW does not discriminate on the basis of sex. Questions regarding Title IX may be referred to TitleIX@uncw.edu.
Last update 02/16/2016