*First Name: 

Other Email (optional):

*Primary Phone:

Alternate Phone:

AOL IM Name:

*Mailing Address:

I can return PHONE CALLS within 12 hours: No Yes

I can return EMAILS within 12 hours: No Yes

*Gender:

*Date of Birth:

*High School City:

Will/did graduate from college in the year (yyyy):

Will/did graduate from college in:

Position Desired:

In-Home Tutor  (You must own transportation)

On-Campus Tutor   (Claremont Colleges students only)

Phone Tutor

On-Call AIM Tutor
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Why will you be a good tutor?
Discuss strengths, experience, etc...

Work Reference
(please list something relevant to tutoring if possible)

*Name of Workplace:

*Workplace City

Name of Immediate Superior:

*Workplace Phone #:

*Position Held:

Responsibilities:

*Full Name:

*How do you know them? :

*City:

*Phone #: