Academic Support Center - Tutor Application Form
Required fields are marked with an asterisk (*).
Personal Data
First name:
*
Last name:
*
E-mail:
*
Phone number:
*
(e.g. cell phone)
Your primary number should be the number where you can be reached most frequently (i.e. cell phone), and your secondary phone is where you can be alternately reached.
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Second phone number:
Address:
*
City:
*
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip code:
*
Hours available to work per week:
*
Date available to start work:
*
Preferred tutoring locations:
Arnold
Arundel Mills
Glen Burnie Town Center
Are you a citizen of the U.S.?
Yes
No *
If no, do you have the legal right to work in the U.S.?
Yes
No
*
Have you ever been convicted of a felony?
Yes
No *
Please complete the following questions
Why are you interested in becoming an AACC tutor?
What work or volunteer experience do you have that would assist you in being an effective tutor?
What do you consider your strongest qualifications and how would you apply them to this tutoring position?
Education:
Name / Location
Dates Attended
(type or use date selector)
Information
High School / GED
From:
To:
Diploma:
GED:
College / University
From:
To:
Credit hours:
Degree:
Major:
Other
From:
To:
Credit hours:
Degree:
Major:
Course(s) you wish to tutor:
Please enter at least one.
Complete Application
Students are required to print out the Instructor Evaluation form on the next page and have it signed by the appropriate course instructor. Submit completed form, with signature(s), to: Coordinator of Tutoring, in Library 106 or fax to (410) 777-4098.
Please type
your legal name
in the
Student's Signature box
and press 'submit application' to apply for a tutoring position.
Typing in your legal name serves as your official electronic signature.
Student's Signature
Please verify your information for accuracy before continuing on to the Instructor Evaluation Form. You will not be able to make changes upon submitting your application.
