82-281 Tutoring for Community Outreach
Name _________________________________________________
Email ___________________Phone number____________________
Major/Minor ____________________________________________
Class __________________________________________________
Current QPA ____________________________________________
Language preference(s) _____________________________________
(Please indicate if you are willing to work with students of ESL as well.)
Your reasons for wishing to take this course:
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
Highest level language class taken ______________________________
Modern Languages faculty reference(s)___________________________
Number of units you wish to earn (6 or 9) ________________________
(To earn 6 units, you should spend 4 hours in a school plus complete the other activities indicated on the course syllabus. To earn 9 units, you should spend 6 hours in a school plus complete the other activities indicated on the course syllabus.)
Site preference (elementary, middle school, high school) ______________
(If you have been working at a particular school, please indicate which one.):
____________________________
Please indicate if you can attend a weekly meeting on campus:
Mondays, 3:30-4:20 YES______ NO ______
Please complete the second side of this sheet and return to the mailbox of the faculty liaison.
Hours available
Indicate with an X the hours you are available to work at the school site.
Name:_____________________________
Elementary School Schedule:
Figure on one half hour at each end for transportation between campus and your school site.)
M T W R F
Period 1 9:10-9:53 ___ ___ ___ ___ ___
2 9:53-10:36 ___ ___ ___ ___ ___
3 10:36-11:19 ___ ___ ___ ___ ___
4 11:19-12:06 ___ ___ ___ ___ ___
5 12:08-12:55 ___ ___ ___ ___ ___
6 12:57-1:44 ___ ___ ___ ___ ___
7 1:46-2:29 ___ ___ ___ ___ ___
8 2:29-3:12 ___ ___ ___ ___ ___
High School Schedule
Figure on one half hour at each end for transportation between campus and your school site.)
M T W R F
Period 1 7:30-8:11 ___ ___ ___ ___ ___
2 8:16-8:57 ___ ___ ___ ___ ___
3 9:02-9:45 ___ ___ ___ ___ ___
4 9:48-10:29 ___ ___ ___ ___ ___
5 10:34-11:15 ___ ___ ___ ___ ___
6 11:20-12:01 ___ ___ ___ ___ ___
7 12:06-12:47 ___ ___ ___ ___ ___
8 12:52-1:30 ___ ___ ___ ___ ___
9 1:30-2:19 ___ ___ ___ ___ ___