Professional Tutor Application
and
Peer Tutor Application
SUNY Canton Academic Support Services
Professional Tutor Application
34 Cornell Drive, Southworth Library 125, Canton, NY 13617
(315) 386-7910
DIRECTIONS: Please complete all portions of this application, provide requested documentation and return to
the Tutor Coordinator, SL 125. You will be contacted upon review of your application.
DATE OF APPLICATION:
NAME:
ADDRESS:
SOCIAL SECURITY #:
HOME PHONE:
CELL PHONE:
EMAIL ADDRESS:
TYPE OF DEGREE(S):
ARE YOU CURRENTLY A STUDENT:
YES
NUMBER OF HOURS PER WEEK YOU COULD WORK:
HAVE YOU PROVIDED TUTORING BEFORE:
YES
NO
NO
CHECK ALL THAT APPLY:
I would like to provide one-on-one tutoring.
I would like to work in a Learning Lab. Please specify in which Learning Lab(s) you would like to work:
Accounting/Business Lab
Computer Lab
Math Lab
Science Tutoring and Learning Center
Vet Tech Lab
Nursing Lab
Writing Center
I COULD PROVIDE TUTORING IN THE COURSES LISTED BELOW:
Course Name
Number
PLEASE ANSWER THE FOLLOWING:
Why do you want to tutor for Academic Support Services?
Discuss any related personal, academic or work experience which you feel will help you to perform
well as a tutor:
How did you learn about tutoring services on this campus?
What do you expect from the students to whom you provide tutoring services?
Please list a few skills that made you a successful student that you would be able to teach to others:
Required Documentation – Professional Tutors
Copy of college degree(s).
Copy of college transcript(s).
Two personal and two professional references (at least one of these should be a college
instructor or advisor who can support your academic success).
For Office Use Only
Date Hired:
○ Professional
Comments:
11/03/10
Pay Rate:
○ Student/Professional
○ Volunteer
SUNY Canton Academic Support Services
Student Tutor Application
34 Cornell Drive, Southworth Library 125, Canton, NY 13617
(315) 386-7910
DIRECTIONS: Please complete all portions of this application, obtain signatures from faculty, and return to the
Tutor Coordinator, SL 125. You will be contacted upon review of your application.
DATE OF APPLICATION:
NAME:
STUDENT ID:
PERMANENT ADDRESS:
CAMPUS/LOCAL ADDRESS:
CAMPUS PHONE: ___________________________CELL PHONE:
EMAIL ADDRESS: __________________________________@canton.edu
DO YOU HAVE WORK STUDY?
YES
NO
ACADEMIC MAJOR: _________________________ CLASS YEAR:
OVERALL GPA: ___________ NUMBER OF HOURS PER WEEK YOU COULD WORK:
HAVE YOU PROVIDED TUTORING BEFORE:
YES
NO
CHECK ALL THAT APPLY:
I would like to provide one-on-one tutoring.
I would like to work in a Learning Lab. Please specify in which Learning Lab(s) you would like to work:
Accounting/Business Lab
Computer Lab
Math Lab
Science Tutoring and Learning Center
Vet Tech Lab
Nursing Lab
Writing Center
I COULD PROVIDE TUTORING IN THE COURSES LISTED BELOW:
(YOU MUST HAVE COMPLETED THE COURSE YOU WOULD LIKE TO TUTOR WITH
A FINAL GRADE OF B OR BETTER IN ORDER TO PROVIDE TUTORING.)
Course Name and Number
Grade Received
Instructor’s Name
PLEASE ANSWER THE FOLLOWING:
Why do you want to tutor for Academic Support Services?
Discuss any related personal, academic or work experience which you feel will help you to perform
well as a tutor:
How did you learn about tutoring services on this campus?
What do you expect from the students to whom you provide tutoring services?
Please list a few skills that you feel have made you a better student that you would be able to teach to
others:
For Office Use Only
Date Hired: _________
Pay Rate: _________
o Peer
Comments:
o Work Study
o Volunteer
SUNY Canton Academic Support Services
Tutoring Services
34 Cornell Drive, Southworth Library 125, Canton, NY 13617
(315) 386-7910
Faculty Endorsement Form:
Applicant Name: ____________________________________________
Dear Faculty Member:
The above listed applicant has applied to work as a tutor for SUNY Canton, Academic Support Services. As part of the
application process, we require students to gain the endorsement of a faculty member who is able to assess their skills in
the area(s) in which they wish to provide tutoring.
By providing this student with your endorsement, you affirm that you would recommend this student to tutor this course(s)
because she/he has a thorough understanding of the content. Further, this student would be able to assist others in
learning course content and would be able to impart basic study skills and habits for successful academic outcomes of
other students. Before this student is hired, you will be contacted by this office to discuss this endorsement.
Thank you for your support of this student and in assisting us in selecting the best tutors available to our campus.
Sincerely,
Johanna M. Lee
Johanna Lee
Tutor Coordinator
ON A SCALE OF 1 (LOWEST) TO 5 (HIGHEST), PLEASE RATE THE FOLLOWING AREAS:
1. Does this student have a thorough knowledge of the course?
1
2
3
4
5
2. Would this student be able to assist others in understanding
the contents of this course?
1
2
3
4
5
3. Does this student have good study habits?
1
2
3
4
5
4. Was this student on time for classes?
1
2
3
4
5
5. Did this student turn in home work on time and follow through
with assignments given in class?
1
2
3
4
5
Please write your personal thoughts and/or comments about this student regarding tutoring services for Academic
Support Services.
Faculty Member’s Name
11/03/10
Faculty Member’s Signature
Date