You must have JavaScript enabled to use this form. General Information Last Name First Name CSUSB Email Address Contact Phone Number Are you enrolled for the term for which you are applying? - Select -YesNo Do you have any previous tutoring experience? Yes No If so, explain: Please explain your interest in becoming a writing consultant How were you referred to the CSUSB Writing Centers? Number of hours you would like to work per week? Minimum number of hours you would accept? I am currently employed by another CSU campus - Select -YesNo Which CSU campus? I am currently employed by another CSUSB department - Select -YesNo Which Department? Education Bachelor's Degree Major Institution Year Received or Expected Master's Degree Major Institution Year Received or Expected Faculty References Please provide three faculty references in the space below. You do not need to obtain letters of recommendation from these individuals, but you should verify with each one that s/he is able to provide a positive recommendation for you. This will prevent unpleasant surprises. First Faculty Member's Name First Faculty Member's Department First Faculty Member's Email Second Faculty Member's Name Second Faculty Member Department Second Faculty Member's Email Third Faculty Member's Name Third Faculty Member's Department Third Faculty Member's Email By entering my name I hereby certify that the information contained in this application is true, complete and correct to the best of my knowledge. Signature Coyote ID