Fillable SILapplicationSP20 MSJC Supplemental Instruction Leader Application

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SILapplicationSP20 MSJC Supplemental Instruction Leader Application

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The SILapplicationSP20 MSJC Supplemental Instruction Leader Application form is 2 pages long and contains:

  • 1 signature
  • 17 check-boxes
  • 34 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Mt. San Jacinto Community College District

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For Office Use Only
Application:__________ Transcript:___________ Interview Date: _______
Action:
SII e-mail: SII approval: _____
SIL e-mail: ____ SIL approval: _____
Name and Contact Information
Name (First and Last):
MSJC Student ID #:
Cell Phone #:
Non-MSJC email address:
MSJC Student email:
School Information
Have you taken a tutor training course? (Check one) Yes No
If yes, please check where: MVC SJC Other When? ________
Which course(s): TA 100 Other: _______________________
Do you currently work as a tutor in the LRC at MSJC? (Check one) Yes No
Major:
Why do you want to be an SI Leader? Attach a separate sheet if needed
SI Leader Application Form
Please drop off a complete
application (including a copy of
your unofficial transcript) to
the Learning Resource Centers
(either campus) by 5:00 pm on
October 21, 2019.
Employment Information
Have you participated in the SI Program before? (Check one) Yes No
If yes, in what capacity? SI Student SI Leader SI Mentor
How did you hear about the SI Leader position? Check all that apply:
Postings in the LRC Word of mouth SI Website
Another encouraged me to apply, please indicate who (circle all that apply)
LRC Personnel Instructor SI Leader/Mentor Other: _______
Classes You Would Like to SI for
Class: Class Instructor:
Grade Earned: Date Completed:
Class: Class Instructor:
Grade Earned: Date Completed:
Professional References (do not list friends or peers)
Name of Reference
Title & Organization
e-mail address
I understand that completion and submission of this application does not guarantee me an
interview; and further if an interview is granted, the interview does not guarantee me an offer for
an SI Leader position.
I understand that I must produce a copy of my Spring 2020 registration,
verifying that I am able to attend the scheduled mandatory SI Leader Orientations and all
Mandatory Meetings (MM). Please see and retain the attached sheet of Spring 2020 SI
Orientation and Meeting dates. Lastly, I understand to be employed as an SI Leader, I must
remain enrolled in a minimum of 6 units for the duration of my employment. I hereby affirm that
the information contained in this application is true and accurate, I have given my permission for
the Supplemental Instruction Coordinator to review my academic records to verify my eligibility
and contact my references.
Signature date
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signature
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**** Please detach and retain for your records! ****
All meetings are mandatory
.
Spring 2020 SI Orientation and Training Meeting Dates
Wednesday, Jan 8, 2020 First Time SI Leader Orientation 9:00 am – 3:00 pm** SJC Library
Thursday, Jan 9, 2020 All SI Leader Orientation 9:00 am – 3:00 pm** SJC Library
Friday, Jan 10, 2020 All SI Leader Orientation 9:00 am – 3:00 pm** SJC Library
Friday, Jan 17, 2020 Mandatory Training Meeting 10:30 am – 11:30 am SJC
Friday, Jan 24, 2020 Mandatory Training Meeting 10:30 am – 11:30 am SJC
Friday, Jan 31, 2020 Mandatory Training Meeting 10:30 am – 11:30 am MVC
Friday, Feb 7, 2020 PLACE Mandatory Meeting 12:30 pm – 2:30 pm** MVC
Friday, Feb 21, 2020 Mandatory Training Meeting 10:30 am – 11:30 am SJC
Friday, Feb 28, 2020 Mandatory Training Meeting 10:30 am – 11:30 am SJC
Friday, Mar 6, 2020 PLACE Mandatory Meeting 12:30 pm – 2:30 pm** MVC
Friday, Mar 13, 2020 Mandatory Training Meeting 10:30 am – 11:30 am MVC
Friday, Mar 20, 2020 Mandatory Training Meeting 10:30 am – 11:30 am SJC
Friday, Apr 3, 2020 PLACE Mandatory Meeting 12:30 pm – 2:30 pm** MVC
Friday, Apr 10, 2020 Mandatory Training Meeting 10:30 am – 11:30 am MVC
Friday, Apr 17, 2020 Mandatory Training Meeting 10:30 am – 11:30 am SJC
Friday, Apr 24, 2020 Mandatory Training Meeting 10:30 am – 11:30 am SJC
Friday, May 1, 2020 PLACE Mandatory Meeting 12:30 pm – 2:30 pm MVC
** Lunch will be provided. If you have any dietary restrictions, you may want to consider bringing your own lunch.
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SILapplicationSP20 MSJC Supplemental Instruction Leader Application

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Completed 18 November 2019

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