Tutor Application

Academic Learning Center Tutor Application

First Name: *

Middle Name: *

Last Name: *

Address: *

City: *

State: *

Zip: *

Home Phone: *

Cell Phone: *

E-mail: *

Position applying for

Please choose at least one: *

Mathematics Tutor

Science Tutor

Supplemental Instruction (SI) Instructor

Please answer the following questions

Have you ever filed an application with us before?: *

Yes

If yes when?:

Have you ever been employed on campus before?: *

Yes

If yes, department? :

Are you able to be lawfully employed in this country because of Visa or Immigration Status?: *

Yes

(Proof of citizenship or immigration status will be required upon employment.)

Have you, since the age of 18, ever been convicted of a crime other than a minor traffic offense?: *

Yes

(A conviction generally does not disqualify you from consideration for employment.)

If yes, explain :

List mathematics and science courses taken at the University of Northern Iowa.: *

List mathematics and sciences courses taken outside of UNI. Indicate the name of the institution.: *

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand I am required to abide by all rules and regulations of the employer. If hired, I understand that I must verify my eligibility for employment with Human Resources.

Applicant's online signature: *

I agree to the terms above

The University of Northern Iowa is an equal opportunity employer with a comprehensive plan for affirmative action.