Tutor Employment Application

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FOR OFFICE USE ONLY:
Date Submitted: __________
Term: __________________
Application Status:
Interviewed:______________
Hired:___________________
General Academic
Deferred:________________
Tutoring Center
Declined:
Tutor Employment Application
Term: (please circle one)
Spring
Summer
Fall
Name: ___________________________________________ Student ID: ____________
Last
First
Current/Local
Address: ________________________________________________________________
Street/Residence Hall
Apt/Room #
ZIP
Permanent
Address: ________________________________________________________________
Street
Apt. #
________________________________________________________________
City
State
ZIP
Cell Phone: (_____) ___________________ Local Phone: (____) __________________
Email Address: Personal _______________________ Pacific: _____________________
 Please print your email address neatly. Email communication will be the
most common form of communication that the Tutoring Coordinator
uses to reach you. Therefore, you must have an email account that you
check regularly. We ask that you provide your private account (hotmail,
yahoo, etc.) as well as the e-mail account that Pacific automatically sets
up for every student. Please star (*) your preferred account.
Please attach an unofficial transcript to your application.
School/Major: ____________________________ Major: ________________________
Classification (circle one): Freshman
Sophomore
Junior
Senior
• Do you have, or are you eligible for, FEDERAL WORK STUDY?
YES
NO
• Will you be using your Federal Work Study for this position?
YES
NO
• Have you worked for the General Academic Tutoring Center before? YES
NO
• If yes, when, for how long, and in what capacity? ___________________________
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