Peer Team Leader Employment Application
Name
Last First MI
Contact Information
Number and Street City State Zip
Phone Number
Email Address
Personal Information
Gender
Date of Birth Country of Birth Citizen of (Country) Course Number and Title for which you are applying to be a peer leader:
How many groups of approximately 10 students each do you anticipate that you could lead (depending on your anticipated semester schedule)?
During what day(s)/ time(s) could you lead one-hour sessions?
Please list when you took the course(s) for which you are applying, your instructor for the course/courses, and your final grade(s):
Education Data:
Number of college credits as of last term
Major/Minor or concentration Anticipated Graduation Date
Employment History
Are you presently working in another area on campus?
If yes, please list the department(s) Please list any previous tutoring experiences below (please list the subject matter, dates of employment, and department/employer):
Please list your anticipated involvement in campus/work activities next term:
Please list your membership in honor societies and professional organizations (list membership offices held) and any honors/awards you have received:
Application Narrative (Please briefly answer the following questions and email them in MSWord Format to scienceoutreach@francis.edu):
1. Please describe why you are interested in this position and why you feel that you would be a good choice as a peer team leader?
2. What do you feel are the most important elements and study habits for ensuring academic success in the sciences?
3. What is your definition of academic success?
Please provide the names of at least two SFU faculty members whom we can contact for a reference
Reference 1 Reference 2
Employee Confidentiality Statement As an employee of the Peer Led Team Learning Program, I agree to keep student comments, performance, practice tests, and other class information confidential. Failure to adhere to the confidentiality of this information may result in termination of employment.
By submitting this application, I attest that all the information stated in the application is truthful and accurate.
STATEMENT OF NONDISCRIMINATION:
Saint Francis University, inspired by its Franciscan and Catholic identity, values equality of opportunity, human dignity, racial, cultural and ethnic diversity, both as an educational institution and as an employer. Accordingly, the University prohibits and does not engage in discrimination or harassment on the basis of race, color, religion, sexual orientation, national origin, sex, age, disability or status as a veteran or disabled veteran or any other protected class. The University is committed to this policy based upon its values and in compliance with federal and state laws.
This policy applies to all programs and activities of the University, including, but not limited to, admission and employment practices, educational policies, scholarship and loan programs and athletic or other University-sponsored programs. Inquiries or complaints may be addressed to the University’s Director of Human Resources/Affirmative Action/Title IX Coordinator, Saint Francis University, Loretto, PA 15940 (814) 472-3264. For other University information, call (814) 472-3000.
January 1, 2007
Program funded through a Science, Technology, Engineering, and Mathematics Talent Expansion Program (STEP) grant from the National Science Foundation: