Urban Scholars’ Academy – English Tutor Application

Urban Scholars’ Academy – English Tutor Application
Directions: Complete all sections and return to Juana Hernandez in the Office of Academic Advising & Retention (Building 32, Room 203) by 6:00 PM on Monday, April 19th. Incomplete applications will not be considered. Questions? Contact Ms. Hernandez at (202) 274-6889 or at jhernandez@udc.edu.
Part I – PERSONAL INFORMATION
Name: ____________________________________ _______________
Date of Birth: ____________ __ ____ _ _____ Social Security #: _________ _________ __________
Address: _______________________________________ ___________________ ___
______________________________________ __________________ ________
Home Phone: _______________ _ _ ___ Alternate Phone: ____ ___ _________
E-mail: ______________________________ ___
Part II – ACADEMIC BACKGROUND
Student ID #: __________________ _ _____ Overall GPA: _____________ ___________
Major: ___________________________________________ ____________________
Classification (check one):
□ Freshman □ Sophomore □ Junior □ Senior
Please check ALL of the courses that you have taken at UDC
□ English Fundamentals □ English Composition I
□ English Composition II □ Literature & Advanced Writing I
□ Literature & Advanced Writing II □ Other: __________________________
Urban Scholars’ Academy
Office of Academic Advising & Retention
www.udc.edu/aac/fye
Part III – EMPLOYMENT HISTORY
Include information for UP TO THREE jobs, starting with most recent or current job.
1. Job Title: _________ ____________ _________ Organization: _____ ______ ______________
Dates of Employment (Month/Year – Month/Year): _ ____ _______ ______
Description of Duties: __________________________________________________________________ _____________
_________________________________________________________________________________________________________________________________ __________ __________
Supervisor’s Name: _______________ _________ _ Supervisor’s Phone: ___ _____ _____ ______
2. Job Title: _________ ____________ _________ Organization: ____________ ______________
Dates of Employment (Month/Year – Month/Year): _ ____ _______ ______
Description of Duties: __________________________________________________________________ _____________
_________________________________________________________________________________________________________________________________ __________ __________
Supervisor’s Name: _______________ _________ _ Supervisor’s Phone: ___ _____ _____ ______
3. Job Title: _________ ____________ _________ Organization: ___ ________ ______________
Dates of Employment (Month/Year – Month/Year): _ ____ _______ ______
Description of Duties: __________________________________________________________________ _____________
_________________________________________________________________________________________________________________________________ __________ __________
Supervisor’s Name: _______________ _________ _ Supervisor’s Phone: ___ _____ _____ ______
Urban Scholars’ Academy
Office of Academic Advising & Retention
www.udc.edu/aac/fye
Part IV – SHORT RESPONSES
You may respond to the following questions below or type your responses on a separate sheet. Please limit responses to 250 words.
Why do you want to work for the Urban Scholars’ Academy?
How have your experiences at UDC prepared you to work as an English Tutor?
Tell us about a time when you showed leadership (i.e. in class, at home, on campus, in the community).