If you would like to apply to be a VITAL tutor, please fill in each field below and click the submit button once. If you prefer to complete a paper version of this form, please go here. Please note that this form is for Lawrence STUDENTS wishing to apply to be tutors. If you are a parent seeking tutoring for your child(ren), please complete the form found here. Thanks for taking the time to apply!

The following will be reviewed by the coordinator of the VITAL Tutoring Program:

Name:
Lawrence ID #:
Date of Birth
SPC # :
Email address:
Preferred Phone # :
Year at Lawrence:

 
Freshman Sophomore Junior Senior 5th Year Staff

Please preference the subjects and age of child that you would be comfortable tutoring. Math and science tutors are strongly needed, so if you have a background in mathematics or the sciences, please indicate that.

Algebra English
Calculus
(please specify)
Foreign Language (please specify)

Age Range : Kindergarten - Grade 5 Grade 6 - Grade 8 High School


Would you like to work with your tutee from last year? Yes No NA
Previous Tutee's Name :

Have you ever been accused of any abuse or harmful action toward children?

Your initial below indicates that all the information you provided is accurate and authorizes the LU Volunteer and Community Service Center to conduct a criminal background check as required for participation in the VITAL program.
Initial Date

 

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If you have any questions, please contact the VCSC VITAL Coordinator.