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Request to be hired as a Tutor

Personal Information
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Student ID
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First Name:
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Last Name:
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Phone Number:
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Email
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Alternate Contact
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The program I am enrolled in is
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I give my permission to the Peer Tutor Coordinator to give my phone number(s) and/or e-mail to the student I am hired to tutor.
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I am interested in being hired as a tutor for the following class
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Instructor's First Name
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Instructor's Last Name
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Are your a returning tutor for LTC?
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What city do you live in?
Available times for tutoring
Please list in each day the hours that you are available to tutor, for example, 9-11AM in the Monday box, 8-10AM and 4-6PM in the Wednesday box, etc. You may leave a day box empty if you are not available!
Days and Times Available
Comments about my schedule
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I have read the peer tutor agreement statement on the peer tutor website and understand thoroughly.

Click here for the peer tutor agreement statement.