Tutoring Program Application

Student Name: ________________________________________ Grade: _______

Please return this form to indicate an interest in tutoring.

Subject Areas in Which You Wish to Tutor:
(Place a check mark next to the subject(s) of expertise.)

English _____ Foreign Language _____

History _____ Technology _____

Science (Biology, Chemistry, Physics, etc.) _____

Math (Specify math levels of competency) _____

Teacher Recommendations:
Please provide one letter of recommendation for each subject area in which you will be tutoring.

Tutoring Schedule:
(For Example)
Tuesday through Friday 6:45 – 7:40 a.m.
Tuesday and Wednesday 2:35 – 4:00 p.m.
In Room 428