word doc - University of Texas at El Paso

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UNIVERSITY OF TEXAS AT EL PASO
UNIVERSITY WRITING CENTER
TUTOR APPLICATION FORM
DATE:_________________
SS#:__________________* UTEP ID #: ______________
NAME:____________________________________________________________________
Last
First
Middle
LOCAL ADDRESS:_____________________________________ PHONE:_______________
CELL PHONE:____________________________
CLASSIFICATION (Circle one):
GRAD.
E-MAIL:__________________________
SR.
JR.
ANTICIPATED GRADUATION DATE:____________________
OVERALL GPA:_________
LAST SEMESTER GPA:_________
SOPH.
FR.
MAJOR:________________
GPA IN MAJOR:________
Are you currently working in any other department on campus? Yes_____
No_____
If “yes,” in what department?____________________; how many hours per week?_______
What is your job assignment?____________________ If hired as a tutor, would you want to
continue that job while also tutoring? Yes_____ No_____
WHAT FOREIGN LANGUAGES DO YOU READ AND WRITE?____________________________
LIST SUBJECTS/COURSES YOU FEEL QUALIFIED TO TUTOR:__________________________
___________________________________________________________________________
WHY DO YOU WISH TO TUTOR?________________________________________________
___________________________________________________________________________
WHY DO YOU FEEL YOU WILL MAKE A GOOD TUTOR?_______________________________
___________________________________________________________________________
WHAT DO YOU PERCEIVE AS THE RESPONSIBILITIES OF A TUTOR?____________________
____________________________________________________________________________
LIST PREVIOUS TEACHING OR TUTORING EXPERIENCE:______________________________
____________________________________________________________________________
PLEASE IDENTIFY TWO PROFESSORS WHO WILL ACT AS REFERENCES.
1.__________________________________________________________________________
2.__________________________________________________________________________
*A Social Security Number must be obtained before you can be hired.
Return your completed application to the University Writing Center, Library, Room
227.
NOTE: Please read the Job Qualifications on the reverse side before submitting this
application.
REQUIRED DOCUMENTATION
1. Completed Application.
2. Must provide two strong recommendations from University faculty or administrators.
Reference forms attached.
3. Must provide an Official transcript from the Records Dept. located at the Academic Services
Building. Have them send it to the University Writing Center, Library 227
4. Must provide an academic writing sample.
DESIRED JOB QUALIFICATIONS
1. Must be of sophomore or higher classification and have completed one or more semesters at
UTEP.
2. Must have a minimum cumulative Grade Point Average of 3.0 and 3.0 in your tutoring area.
3. Must maintain a 3.0 Grade Point Average each semester you are employed.
4. Must participate in initial and ongoing training programs as requested.
5. Must exhibit a high level of expertise in English.
6. Must be able to communicate well orally and relate meaningfully with fellow students as
determined in a personal interview.
7. Must be responsible and willing to work under supervision.
8. Having previous experience in either teaching or tutoring would be most helpful.
9. Must have no campus disciplinary record.
10. Will be given proficiency tests related to tutoring writing.
JOB REQUIREMENTS
Tutors are expected to:
1. Become familiar with all services of the University Writing Center and related services.
2. Tutor students individually in subject matter.
3. Adhere to a predetermined work schedule and keep record of hours worked.
4. Maintain adequate records as required.
5. Dress appropriately and behave professionally.
6. Must be enrolled full time each semester.
The University of Texas at El Paso and the University Writing Center do not
discriminate on the basis of race, color, national origin, sex, religion, age or disability
in employment or the provision of services.
HOUSE BILL 1922 NOTICE REQUIREMENTS
With few exceptions, you are entitled on your request to be informed about the
information the University of Texas at El Paso collects about you. Under Sections
552.021 and 552.023 of the Texas Government Code, you are entitled to receive and
review the information. Under Section 559.004 of the Texas Government Code, you
are entitled to have the University of Texas at El Paso correct information about you
that is held by us and that is incorrect, in accordance with the procedures set forth in
the University of Texas System Business Procedures Memorandum 32. The
information that the University of Texas at El Paso collects will be retained and
maintained as required by Texas records retention laws (Section 441.180 et seq. of
the Texas Government Code) and rules. Different types of information are kept for
different periods of time.
Rev. Spring 2010 (3/29/10)
Dear_______________________________:
____________________________________ has used your name as a reference for a tutoring
position in Writing at the University Writing Center. We want to hire the best qualified tutors,
and it is important for us to know whether you recommend this student.
In consideration of your time, the reference form has been designed as a checklist. However,
please feel free to add comments or to call me at 747-5112. The reference form may be
returned to the Library, Room 227.
Thank you for your help.
Sincerely,
Esther S. Al-Tabaa, Associate Director
University Writing Center
NAME OF STUDENT_____________________________________________________________
QUALIFICATIONS
Capable of tutoring
in the area(s)
identified above
Able to communicate
and relate
meaningfully to
other students
Responsible and
willing to work under
supervision
Additional
comments:
HIGHLY
RECOMMEND
RECOMMEND
__________________________________
Professor’s Signature
DO NOT
RECOMMEND
INSUFFICIENT
INFORMATION
_______________________
Date
I hereby authorize the above named professor to release the requested information to the
professional staff of the University Writing Center. I do/do not waive access to this information.
__________________________________
Student’s Signature
_______________________
Date
The University of Texas at El Paso and the University Writing Center do not discriminate on the
basis of race, color, national origin, sex, religion, age or disability in employment or the
provision of services.
Rev. Spring 2010
(OVER)
HOUSE BILL 1922 NOTICE REQUIREMENTS
With few exceptions, you are entitled on your request to be informed about the information the
University of Texas at El Paso collects about you. Under Sections 552.021 and 552.023 of the Texas
Government Code, you are entitled to receive and review the information. Under Section 559.004 of
the Texas Government Code, you are entitled to have the University of Texas at El Paso correct
information about you that is held by us and that is incorrect, in accordance with the procedures set
forth in the University of Texas System Business Procedures Memorandum 32. The information that
the University of Texas at El Paso collects will be retained and maintained as required by Texas
records retention laws (Section 441.180 et seq. of the Texas Government Code) and rules. Different
types of information are kept for different periods of time.
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