Supplemental Instruction (SI) Coach Application
Fall 2009
Position begins August 27th, 2009.
Return this application along with a copy of a current transcript(s) from ECC and any
other college you have attended to:
Luis Barrueta, SI Coordinator
SI Office – Student Services room 206 (310) 660-3612
lbarrueta@elcamino.edu
Date________________
Name____________________________________________ ECC ID#_____________
Last
First
MI
Address________________________________________________________________
Street Address
City
State
ZIP
Phone___________ Cell____________ e-mail address_________________________
Major___________ How did you find out about the SI coach position?_____________
The courses below will have Supplemental Instruction (SI) support for the fall 2009 semester.
Please list the course or courses that you are competent in and would like to coach for (in order of preference):
Math 12
Math 23
Math 40
1st Choice_______________
Math 70
Math 130
Math 150
2nd Choice_______________
Business 1A (accounting)
3rd Choice_______________
If hired for this position, I will be able to attend the mandatory SI Coach training on
Thursday, August 27 & Friday, August 28, 2009 from 9-1pm. Yes No (If no, why?____________________)
List the number of units in which you will be enrolled during fall 2009 __________
Do you have a Financial Aid Work Study award for the fall 2009 semester?
Yes No
Are you an International Student? Yes No
Describe your anticipated involvement during fall 2009 in clubs, organizations, and other employment.
________________________________________________________________________
Time
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
Please mark the hours that you WILL be available to work as an SI Coach.
Monday
Tuesday
Wednesday
Thursday
Friday
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1.
Are you familiar with the duties of an SI coach? Explain. Why are you interested
in this position, and why do you feel that you would make a successful SI Coach?
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2. This job will require you to speak in front of the class on a weekly basis. What
experience do you have speaking in front of students or in public?
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3. What has been your most challenging job and why? How did you overcome it?
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4. Being an SI Coach requires much energy, discipline, self-motivation, and
persistence? Give an example of each of these virtues as they may apply to a job
situation.
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5. Describe three study strategies that have helped you perform well in your classes.
How can you help students develop these strategies?
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6. How can you benefit from your position as an SI Coach?
______________________________________________________________________________
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7. What would give you the most satisfaction in this position?
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8. What would be the greatest challenge for you in this position?
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3
Education
Name & Location
Graduated
n/a
yes no
yes no
Grade School
High School
College
Dates Attended
From
From
From
To
To
To
Work Experience (Begin with the most recent.)
Employer Name
Supervisor Name & Title
Phone Number
Ending Pay Rate $
Dates of Employment
From
To
Reason for Leaving
Your Position
Position Duties
Employer Name
Supervisor Name & Title
Phone Number
Ending Pay Rate $
Dates of Employment
From
To
Reason for Leaving
Your Position
Position Duties
Employer Name
Supervisor Name & Title
Phone Number
Ending Pay Rate $
Dates of Employment
From
To
Reason for Leaving
Your Position
Position Duties
Professional References
Please list persons we may contact who know your job qualifications such as present or former employers.
Name
Employer
Position
Association with you
City and State
Phone # and ext.
Name
Employer
Position
Association with you
City and State
Phone # and ext.
4
Educational References (Strongly recommended, but not necessary to be considered for hiring)
Please list two instructor references. One should preferably be from an instructor for the
subject you are applying for. Letters of reference may be submitted in lieu of filling out
this reference list.
1.______________________________________________________________________
Instructor
Course
________________________________________________________________________
Office Location
Phone number
2.______________________________________________________________________
Instructor
Course
________________________________________________________________________
Office Location
Phone number
Emergency Contact________________________________________________________
(name)
(relationship)
(phone)
(cell/pgr)
I hereby attest that all information contained in this application is truthful and accurate. I understand that
my references may be contacted as a condition of my employment eligibility.
Signature
Date
Position begins August 27th, 2009.
Positions are filled on a first come basis. Early submittal of your application is strongly recommended.
Return this application along with a copy of a current transcript(s) from ECC and/or
any other college you have attended to:
Luis Barrueta, SI Coordinator
SI Office – Student Services room 206
(310) 660-3612 lbarrueta@elcamino.edu
Beth Schwartz – SI Coach Mentor
SI Center - Activities Center, West End
(310) 660-3593 x3608 eschwartz@elcamino.edu
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