STATE UNIVERSITY OF NEW YORK MARITIME COLLEGE Learning Center – Student Tutor Application APPLICANT INFORMATION Last Name First M.I. Street Address Date Apartment/Unit # City State Cell Phone Available Start Date ZIP E-mail Address Social Security No. Class: Degree/Major: Are you a citizen of the United States? YES NO If no, are you authorized to work in the U.S.? Have you ever worked in the Learning Center? YES NO If so, when? Are you eligible for Federal Work Study? YES NO YES NO EDUCATION College From Address To Did you graduate? College From NO Degree NO Degree NO Degree Address To Did you graduate? Other From YES YES Address To Did you graduate? YES REFERENCES Please list two references from campus as well as one professional reference. (College references may be faculty or administrators, not students.) Full Name Relationship Company Phone Address Full Name Relationship Company Phone Address Full Name Relationship Company Phone Address Tutoring Availability Day Times Sunday Monday Tuesday Wednesday Thursday Courses Interested in Tutoring (YOU MUST SUBMIT AN UNOFFICIAL TRANSCRIPT WITH YOUR APPLICATION) Course Name and Number Grade Earned **All applications must be submitted in person to with the Associate Dean, Mr. Will Imbriale (Baylis Hall, Student Affairs, or the Learning Center Coordinator, Ms. Courtney Collins (Learning Center, A/B Dorm). You can also submit via email (ensure unofficial transcript attached) to [email protected]** YOUR SEMESTER CLASS SCHEDULE AND UNOFFICIAL TRANSCRIPT MUST ACCOMPANY YOUR APPLICATION.