ACADEMIC SUCCESS CENTER
University Tutoring (UT)  TRIO Student Support Services (SSS)
We are looking for students who are interested in working as Tutors, Learning Assistants, and
Peer Mentors for the University Tutoring and TRIO Student Support Services programs. Our collective mission is to empower students to become independent learners through engaging support programs while providing an inclusive community that honors the uniqueness of each individual’s academic journey. In order to accomplish our mission, we are seeking students who have the following qualities and meet the following qualifications:
 Necessary Qualities:
Great interpersonal and communication skills
Ability to work with diverse populations
Patient and flexible
Self-disciplined and respectful
 Academic Qualifications:
Minimum 3.0 cumulative GPA
Earned an ‘A’ or ‘A-‘ in the courses they would like to tutor
 Time Commitment:
A minimum of 8 hours per week to devote to tutoring
Attend regular/scheduled meetings
Please complete the following:
 Application : Please be sure you have filled in all of the requested information and have responded to all questions. Incomplete applications will not be reviewed.
 Cover Letter : Please attach a cover letter with your application that addresses why you are applying for this position, includes any background/experience you have that is relevant to this position, and describes the qualities you possess that would enable you to respond and work effectively with your peers.
 Reference Form : Please have a Professor, preferably one in the field from which you are applying and that is able to speak of your academic abilities, complete the attached
Reference Form.
Note: Please submit your application as soon as it is complete, even if you do not have your completed Reference Form. Your Professor can return the form directly to us.
Please Complete and Return Your Application to
Adam B Cinderich  Suite 111B  Center for Undergraduate Excellence
975 University Esplanade  Kent State University, Kent, OH 44243
You will be notified if you have been selected for an interview. Thank you for your interest!

ACADEMIC SUCCESS CENTER
University Tutoring (UT)  TRIO Student Support Services (SSS)
FOR OFFICE USE ONLY
Application Processed
Received Letter of Recommendation
Student Contacted
Interview Scheduled
Interview Completed
Student Notified of Decision

Name (First, Middle, Last):
Date
Banner ID:
Local Address (Street):
City, State and Zip:
Permanent Address (Street):
City, State and Zip:
Home Phone Number:
Kent State E-mail Address:
Cell Phone Number:
Major(s):
Minor(s):
Department:
College:
Cumulative GPA:
Class Standing (circle one): Freshman Sophomore Junior Senior Graduate
Expected Graduation Date:
Please Complete and Return to
Adam B Cinderich  Suite 111B  Center for Undergraduate Excellence
975 University Esplanade  Kent State University, Kent, OH 44243

ACADEMIC SUCCESS CENTER
University Tutoring (UT)  TRIO Student Support Services (SSS)
Please circle all of the subjects for which you are applying.
Math Chemistry Business Economics Psychology History
Foreign
Language
Physics Biology Accounting Writing Sociology Human Comm. Study Skills
List a few courses you have taken to date that relate to the position(s) for which you are applying.
Course Name Course Subject/Number Grade Semester/Year Taken
Describe any formal or informal tutoring, mentoring, and/or counseling experiences:
How did you hear about this position?
Are you currently employed? If so, where?
How many hours per week would you be available to work next semester?
Are there any days of the week you will not be available to work? (Note: Tutoring facilities are closed during University breaks, observed holidays and when classes are cancelled. Therefore, you would not work those days.)
I give permission for the Academic Success Center to obtain copies of my academic records in order to verify my eligibility to work as a Tutor, Learning Assistant or Peer Mentor.
I understand information supplied on this application will be kept confidential.
Please Complete and Return to
Adam B Cinderich  Suite 111B  Center for Undergraduate Excellence
975 University Esplanade  Kent State University, Kent, OH 44243

ACADEMIC SUCCESS CENTER
University Tutoring (UT)  TRIO Student Support Services (SSS)
1. Describe any experience you have that is relevant to the position for which you are applying.
2. Describe three challenges that many new college students might face. How would you assist these students overcome these specific challenges?
3. What would be the greatest challenge for you in this position?
4. What would give you the most satisfaction in this position? How would this position help you grow personally and/or professionally?
Please Complete and Return to
Adam B Cinderich  Suite 111B  Center for Undergraduate Excellence
975 University Esplanade  Kent State University, Kent, OH 44243

ACADEMIC SUCCESS CENTER
University Tutoring (UT)  TRIO Student Support Services (SSS)
5. What would you do if your student asks a question and you don’t know the answer?
6. In what ways would you be able to assist a first-generation college student?
7. Our department sometimes serves students with physical and/or learning disabilities. How comfortable would you be working with students of varying abilities and what, if any, experience do you have in working with students registered with a physical or learning disability?
8. Please provide any comments you would like on your ability to perform the duties of this position:
Please Complete and Return to
Adam B Cinderich  Suite 111B  Center for Undergraduate Excellence
975 University Esplanade  Kent State University, Kent, OH 44243

ACADEMIC SUCCESS CENTER
University Tutoring (UT)  TRIO Student Support Services (SSS)
*TO BE COMPLETED BY APPLICANT*
Name: ___________________________________________ Banner ID: _______________
Please circle all of the subjects for which you are applying.
Math Chemistry Business Economics
Writing
Psychology History
Foreign
Language
Sociology Human Comm. Study Skills Physics Biology Accounting
Under the Federal Family Educational Rights and Privacy Act of 1974 and subsequent legislation, students have the right to inspect letters of reference. It is your option to preserve or to waive your right of access to such letters.
We believe, however, that references completed in confidence are especially valuable in assessing qualifications.
Please mark the appropriate sentence below indicating your waiver choice, and sign your name.
I waive my right to review the completed reference form.
I do not waive my right to review the completed reference form.
Applicant Signature : _______________________________________ Date : _________________
*TO BE COMPLETED BY EVALUATOR*
The student above has applied to be a Peer Tutor in Academic Success Center. Your evaluation of the applicant will be an important consideration in the hiring process. Please complete and return this evaluation to the address below, or to the applicant (in a sealed envelope signed across the back if they have waived their right to review this form). You may include additional comments on the back of this form.
____________________________________________________________________________________
Evaluator’s Name Phone Number
School/Department Email Address
____________________________________________________________________________________
How long have you known this applicant? In what capacity?
PLEASE EVALUATE THE APPLICANT WITH REGARD TO THE FOLLOWING QUALITIES:
Rare
Top 5%
Excellent
Top 10%
Good
Top 25%
Above Avg
Top 50%
Below Avg
Lower 50%
Unable to
Judge
Intellectual Ability
Leadership Ability
Writing Skills
Oral Skills
Creativity
Energy & Enthusiasm
Persistence & Drive
Ethic and Morals
Evaluator Signature : __________________________________________ Date : __________________
Please Complete and Return to
Adam B Cinderich  Suite 111B  Center for Undergraduate Excellence
975 University Esplanade  Kent State University, Kent, OH 44243