Raritan Valley Community College
Academic Support Center

TUTOR APPLICATION

Name: ____________________________________ Address: ____________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Social Security or G Number: ______________________________________________________________
Home Phone Number: ____________________________________________________________________
Cell (Optional): _________________________________________________________________________
Business (Optional): _____________________________________________________________________
Email address: __________________________________________________________________________
 
If applicable, complete the following:

College Program: ___________________________________________ Completed Credits: ____________
Current Student at RVCC? YES / NO Current GPA: ____________________________________________
Numbers of Semesters Completed at RVCC: __________________________________________________

Please list courses qualified to tutor:
  Subject Grade Instructor’s name
1.      
2.      
3.      
4.      

Do you have an Associate’s _______ Bachelor’s _______ Master’s_______ PhD._______ degree?

Please list degrees:
Name of College Degree Program  Date of Graduation
     
     


*Are you willing to work at the Franklin Center?                  Yes: ___________ No: ______________
*Are you willing to work on Saturdays at the main campus? Yes: ___________ No: ______________

I hereby authorize Academic Support Center personnel to view my RVCC and non-RVCC academic records for hiring purposes.

Signature: ______________________________________Date:_____________________________
 

11/8/05

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