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Math Peer Tutor Application

(print, complete and return to Mrs. Marquez

Name_________________________________     Date________________________
 
Local Address___________________________    Home Address________________
 
___________________________________        _____________________________

e-mail __________________________________   Local Phone___________________

1.How many hours per week would you like to work?_____

2.Would you like to volunteer or explore the possibility of being paid?____________

3.Indicate the days and hours you would prefer to work in the lab.

_________________________________________________________________________

Math Background:

4.Are you currently enrolled in an HCC math course?________

5.If yes, which one?__________Teacher Name__________________

6. Have you had finite math?_______

7.Have you had discrete math?________

8.What was the last math class you completed?_________________

9.Where was it taken?_______________________________________

10.Other comments:___________________________________________________________

______________________________________________________________________________

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