Make a Difference. Complete the application below to be considered for the Tutor/Mentor Program. You will be asked to upload two references, an unofficial college transcript, and your current weekly class schedule before submitting. Application for Tutor/Mentor Program Personal InformationFull Name(Required)Student Classification(Required)Choose the year of college you're currently inFirst-Year StudentSophomoreJuniorSeniorMajor(Required)Phone Number(Required)Current Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Enter your countryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Academic & Tutoring SubjectsWhat subjects are you proficient enough in to tutor high school studies? Mathematics Chemistry Social Studies Biology English Foreign Language Foreign LanguagesPlease use the space above to list the foreign languages you are proficient inExperience Working With YouthWhat experience do you have in working with economically disadvantaged youth?What experience do you have in working with culturally and ethnically diverse groups of youth?What experience do you have in planning and implementing recreational, extra-curricular and cultural programs?Working With Upward Bound StudentsHow would you balance and reconcile your various roles and responsibilities (supervising, tutoring and counseling) as an Upward Bound Tutor/Counselor?What do you hope to give and gain through working with the Upward Bound students?Working With TeenagersWhat is your impression of teenagers?What do you like MOST about teenagers?What do you like LEAST about teenagers?Personal Qualities, Goals & AvailabilityWhat are your career goals?What phrases/words describe you best?Do you have any additional information to provide?Do you have any conflicting obligations?Are you planning to attend summer school? Yes No Required DocumentsReference OneMax. file size: 50 MB. Upload a personal or professional referenceReference TwoMax. file size: 50 MB. Upload a personal or professional referenceUnofficial Copy of College TranscriptMax. file size: 50 MB. Upload an unofficial copy of your college transcriptWeekly Class ScheduleMax. file size: 50 MB. Upload your weekly class schedule for the current semesterCAPTCHA
