N'CAT Tutor Update Form

Northwestern Athletics
Academic & Student Services

N'CAT Tutor Quarterly Renewal Form

Type your information in all fields that apply. Type your text information over "xx" in any field you need.

Quarter:

Tutor Name First: Last:

Empl ID # (7 digits) :

Question 1. Are you available to tutor this quarter?
YES
NO (please skip to Update Address Information, below)

Question 2. What subject area(s) or specific class(es) are you confidently able to tutor this quarter? (e.g.: CHEM 102 or SPANISH- all courses)
Please list all that apply:

Question 3. What type of tutoring would you like to do? (please check all that apply)
Drop-In Individual Learning Teams

Question 4. How many nights per week requested?

What night(s) would you like to tutor? (please list)
Night(s) requested (1st choice):

Night(s) requested (2nd choice):

Please help us update your information:

Address line 1: Apt / #:
Address line 2:
City: State: Zip:

Res.Hall /Apt phone number: Cell phone number:
Other phone number:
NOTE: These numbers are for use by Tutoring Coordinators only; students will NOT receive your phone number to contact you for appointments unless you give it out yourself.

Email address you actively check:

Do you receive a monthly stipend?
      YES
      NO

Are you currently a TA for Northwestern University?
      YES
      NO
If so, which class(es) and professor(s) do you TA for:

Press to send your information or press to erase your answers and start over.