Tutoring Application for Knox County

Name:

Campus Address:

Campus PO Box:

Kenyon Username:

Campus PBX: or Off Campus Number:

Schedule Information:

Please indicate the days and periods for which you are free to Tutor.

Monday:

Period 1 Period 2 Period 3 Period 4 Period 5 Period 6 Period 7 Period 8

Tuesday:

Period A Period B Period C Period D Period E

Wednesday:

Period 1 Period 2 Period 3 Period 4 Period 5 Period 6 Period 7 Period 8

Thursday:

Period A Period B Period C Period D Period E

Friday:

Period 1 Period 2 Period 3 Period 4 Period 5 Period 6 Period 7 Period 8

Are you:

Male Female

What is your year of graduation?

How old are you?

What is your major or area of interest?