Math Clinic Tutor Application-Second Semester

This is the Application for Second Semester Tutors, if you want to apply for first semester tutoring use the first semester application.
First Name
Last Name
Email
Phone
Class year
PO#

Please answer the first three questions below even if you don't wish to apply for a regular math clinic tutoring assignment.

I am interested in working in Math Clinics during Second semester.

Yes
No

I am interested in being a substitute in the clinics.

Yes
No

I am interested in doing individual tutoring in mathematics for the ASC.

Yes
No

I would be willing to work in the following clinics:

Calc 120
Calc 126

My preference is (greatest need is for 126 this term):

120
126

I have a student work award for this year

Yes
No

$ Amount $ Already earned

I can work the following number of 90-minute clinics per week without going over my work award (there are 11 full weeks of clinics this term).

1
2
3
4
5

I can work at the following times (Please mark all possibitities - not just preferences. The largest number of slots are on Sunday, Tuesday and Thursday.

  Sunday Monday Tuesday Wedensday Thursday
3:30-5:00      
7:30-9:00

Which calculus text(s) have you used?
Ostebee/Zorn
Cohen Henle
Hughes-Hallett
Other

I have taken the following college mathematics courses (Please list instructors and grades too).

Course Grade Instructor

Any comments or concerns: