Name: Date:

CWID (Campus Wide ID) #:

Local Telephone: Home Telephone:

Cell Phone #: Email:

Local Address:

Home Address:

Major: Year at Marist:

When are you available to tutor between 2:30 and 4:30 p.m.?

Monday Tuesday Wednesday Thursday Friday

Please complete the section that interests you - tutoring or mentoring.

Tutoring

Preferred grade level: Elementary Middle School

High School (check subjects)

Math Biology Chemistry Spanish Physics
Global Studies/History Assist with writing assignments

What applies to you?

I am eligible for work study
I am not eligible for work study but willing to volunteer for an entire semester
I have my own transportation

What experience have you had tutoring or working with young people?