Independent Contractor Application

Today’s date: ___________________

Name: _____________________________________ Birthdate: _________________________

SSN: ______________________

Cell phone: ________________________ Email___________________________________________

Address: ___________________________________________________________________ Address City State Zip Major_______________________ Minor______________________ GPA_________

Class Standing (circle one): Freshman Sophomore

Please list the Subjects in which you feel qualified to tutor (Math, Science, English, Writing, History, and Reading)

________________________________________________________________ ________________________________________________________________ ________________________________________________________________

Please put an X next to the times and days you are available given your class schedule.

Monday Tuesday Wednesday Thursday Friday

2-3pm

3-4pm

4-5pm

5-6pm

6-7pm

Questionnaire

Please answer the following questions CONCISELY:

1) Do you have reliable transportation?

2) Why are you interested in being a tutor?

3) What do you see as the role of a tutor?

4) Think about a time when you helped someone academically. What did you do that proved to be most helpful? What did you do that did NOT prove to be particularly helpful? Describe some of the study techniques that you have or will use when you tutor.

5) Some of the students who come in for assistance need help with study skills (note taking, textbook reading, problem solving) as well as course content, What study techniques do you think are the most important in your subject area, and how would you help a student develop those techniques?

6) What are your strengths as a student? What challenges you academically?

7) Briefly describe your career/education goals.

8) If people you knew were asked to describe you using only one-word, what word would that be, and why?

Applicants Signature: Date: