100 Student Success Center
Columbia, MO 65211-6310
P HONE
(573) 882-2493
F AX (573) 884-5579
EMAIL
learningcenter@missouri.edu
Name
Student ID No.
Email Address
Major
Year in School
(FR, SO, JR, SR, GRAD)
Cell/Local Phone Expected Grad. Date
Permanent Phone
Permanent
Address
GPA*
*Note: We generally require a GPA of 3.5 or higher.
Local
Address
Which semester(s) are you interested in working? Fall
How many hours per week would you like to work? (Most tutors work between 5 and 15 hrs/wk.)
Are you already employed by MU?
If yes, indicate which department and how many hours per week you work.
Yes No
Spring Summer
Are you eligible for the federal work-study program? Yes No
Previous Tutoring or
Teaching Experience
By checking this box, you give the Learning Center permission to verify your grades in relevant courses and obtain information regarding all University discipline records.
I don’t know
Signature Date

On the next page, indicate the subjects and courses you are interested in tutoring.

After completing both pages, attach this document to an email and send it to Doug Clark at ClarkDA@missouri.edu
or Donna Stohr at
StohrDU@missouri.edu
, or fax/mail it to the Learning Center, using the address shown at the top of this page.

If possible, please have a letter of recommendation sent to Doug Clark or Donna Stohr as well. The writer should be someone who can speak to your qualifications for being a tutor.
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The Learning Center is an equal opportunity employer.
Please use the schedule below to mark out the times that you are not available to tutor.
8 – 9 a.m.
9 – 10 a.m.
10 – 11 a.m.
11 – 12 p.m.
12 – 1 p.m.
1 – 2 p.m.
2 – 3 p.m.
X
X
X
X
X
3 – 4 p.m.
4 – 5 p.m.
5 – 6 p.m. X
6 – 7 p.m.
7 – 8 p.m. X
X
X
8 – 9 p.m. X X
Check math courses you would feel comfortable tutoring:
____ Intermediate Algebra (Math 0110)
____ College Algebra (Math 1100)
____ Trigonometry & Precalculus (Math 1140 & 1160)
____ Geometry for Elementary Teachers (Math 1360)
____ Introductory Calculus Courses (1400 & 1500)
____ Calculus 2 (Math 1700)
____ Finite Mathematics (Math 1300) ____ Other: ____________________________________________
List math courses you have had in college (including statistics courses):
Course Year If not at MU, where?
20___
20___
20___
20___
20___
COMPUTER ENGINEERING & COMP SCIENCE
(1430)
 1000 Intro to Computer Professions
 1040 Intro to Problem Solving & Program’g
 1050 Algorithm Design & Programming 1
 2050 Algorithm Design & Programming 2
20___
Please mark Engineering courses you would feel comfortable tutoring:
BIOLOGICAL ENGINEERING (1016)
 1000 Intro to Biological Engineering
 2180 Engineering Analysis of Bioprocesses
CHEMICAL ENGINEERING (1230)
 1000 Intro to Chemical Engineering
 2225 Mass and Energy Balance
 2226 Computer-aided Calc in Chem Eng
ELECTRICAL & COMPUTER ENGINEERING
(1965)
 1000 Intro to Elec. & Computer Eng
 2100 Circuit Theory
 2110 Experimental Elec. Engineering
 2210 Intro to Digital Systems
Course
Grade
CIVIL ENGINEERING (1310)
 1000 Intro to Civil Engineering
 1010 Civil Engineering Design I
 2080 Intro to Dynamics
 2090 Engineering Measurements
ENGINEERING (2050)
 1000 Intro to Engineering
 1100 Engineering Graphic Fundamentals
 1110 Solid Modeling for Eng. Design
 1200 Statics & Elem. Strength of Materials
 2100 Circuit Theory for Engineers
 2200 Intermediate Strength of Materials
 2300 Engineering Thermodynamics
INDUSTRIAL & MFG SYSTEMS- IMSE (3310)
 1000 Intro to Industrial Engineering
 2030 Fund of Systems Design & Analysis
 2110 Linear Algebra for Engineers
 2210 Linear Algebra for Engineers
 2710 Engineering Economic Analysis
Other ___________________________
MECHANICAL & AEROSPACE
ENGINEERING (3850)
 1000 Intro to Mechanical Engineering
 2100 Computer Programming
 2300 Thermodynamics
 2600 Dynamics
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