Fillable MSC-Tutor-Application Revised New Tutor Application 2015 (1) (1)

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MSC-Tutor-Application Revised New Tutor Application 2015 (1) (1)

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MSC NEW TUTOR APPLICATION FORM
Semester Year Today’s Date
Name
Last
Address
Street
PCC ID
First
Phone: ( )
City Zip
M.I.
Current Math Course / Instructor:_____________ /_____________________________Major:
E-mail Address: Birthday Month:
Math Classes completed at PCC. If you are currently enrolled in the class, write “in progress”.
COURSE INSTRUCTOR GRADE
Stat 50
Math 3
Math 7A
Math 7B
Math 9
Math 5A
Math 5B
Math 5C
_________SEMESTER SCHEDULE OF CLASSES
TIME/DAYS COURSE
Total number of units
Please circle all hours you are free to tutor
.
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Mon
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*************************************OFFICE USE ONLY***********************************
Score on Qualifying Test
# of hours given
Tutoring Assignment: R420 _____ R125 _____
Approved on ______________ Approved on ______________ Approved on ______________
Cost Center ______________ Cost Center ______________ Cost Center ______________
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MSC-Tutor-Application Revised New Tutor Application 2015 (1) (1)

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Completed 16 January 2020

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