FIRST-YEAR ENGINEERING LEARNING CENTER (FYELC) Michigan Technological University Coach Application Select this box if you have also filled out an ENG TA application. Application is due back either by e-mail to amber@mtu.edu or dropped off at 112 Dillman Hall. *Selected candidates will be contacted and asked to schedule an interview. 1. BACKGROUND INFORMATION Name: Click here to enter text. M Number: Click here to enter text. Phone: Click here to enter text. e-mail: Click here to enter text. Local Address: Click here to enter text. Permanent Address: Click here to enter text. Number of semesters you expect to work: Click here to enter text. Have you worked on campus before? Choose an item. 2. ACADEMIC INFORMATION Major: Click here to enter text. Minor: Click here to enter text. GPA: Click here to enter text. Expected Graduation Date: Click here to enter text. Class standing next semester: Choose an item. Please indicate the ENG courses you have completed. Course Number Grade Year/Term Taken Instructor ENG1001 Choose an item. Click here to enter text. Click here to enter text. ENG1100 Choose an item. Click here to enter text. Click here to enter text. ENG1101 Choose an item. Click here to enter text. Click here to enter text. ENG1102 Choose an item. Click here to enter text. Click here to enter text. Rate your expertise with the following: 0 = no experience, 1 = familiar, 2 = proficient, 3 = expert MATLAB: Choose an item. MS Office: Choose an item. NX: Choose an item. 3. EMPLOYMENT HISTORY Employer Dates of Employment Position/Responsibilities Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. 4. REFERENCES Please list one reference affiliated with Michigan Tech. Reference Department Click here to enter text. Phone Number Click here to enter text. E-mail Address Click here to enter text. Click here to enter text. 5. EXTRACURRICULAR ACTIVITIES AT MICHIGAN TECH Activity Position/Responsibility Hours Per Week Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. 6. APPLICATION QUESTIONS Please type your answers to the following questions: 1. Why are you interested in this position and why do you feel that you would be a good coach? Click here to enter text. 2. What advice would you give a first-year student to help them succeed? Click here to enter text. 3. Describe any previous experience that would qualify you for coaching and working collaboratively with first-year students. Click here to enter text. 7. SCHEDULE FYELC hours are Sunday-Thursday, 7-9pm. Please indicate the hours that you would be able to coach. NOTE: There is a mandatory coach meeting on Mondays from 6-7pm. Hour Sunday 6-7pm 7-9pm Monday Tuesday Wednesday Thursday COACH MEETING Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. I hereby attest that, to the best of my knowledge, all the information provided above is accurate and truthful. Signature: Click here to enter text. Date: Click here to enter a date.