Check this box if you are re-applying
and your information has changed.
Center for Academic Success
Fall Spring Summer Winter Address:
Student Assistant , Student Tutor
SI Leader , Instructional Assistant
Please place an “X” in any time you are NOT available to work.
This should include class time and travel time.
Note: Not all hours here will be scheduled for all subjects. This is for availability only.
For Office Use Only – Do not fill below this line.
Max # of hours (per employee): Date Rec’d:
Max # of hours (per supervisor): by: