Tutoring Center Application

Student ID Number*

Name*

First Last

Pronouns

he/him/his
she/her/hers
they/them/theirs

Email*

Enter Email Confirm Email

Cell Phone Number*

Major

Minor

COMM GPA*

Cumulative GPA*

Expected Graduation Date (example: Spring 20xx)*

Have you taken COMM 200?*

Yes
No
I am currently enrolled in this class

What grade did you earn in COMM 200?*

Who was your COMM 200 professor?*

Semester you completed COMM 200*

Who is your COMM 200 professor?*

Have you taken COMM 300?*

Yes
No
I am currently enrolled in this class

What grade did you earn in COMM 300?*

Who was your COMM 300 professor?*

Semester you completed COMM 300*

Who is your COMM 300 professor?*

Have you taken COMM 301?*

Yes
No
I am currently enrolled in this class

What grade did you earn in COMM 301?*

Who was your COMM 301 professor?*

Semester you completed COMM 301*

Who is your COMM 301 professor?*

Have you taken COMM 306?*

Yes
No
I am currently enrolled in this class

What grade did you earn in COMM 306?*

Who was your COMM 306 professor?*

Semester you completed COMM 306*

Who is your COMM 306 professor?*

Have you taken COMM 307?*

Yes
No
I am currently enrolled in this class

What grade did you earn in COMM 307?*

Who was your COMM 307 professor?*

Semester you completed COMM 307*

Who is your COMM 307 professor?*

Have you taken COMM 330?*

Yes
No
I am currently enrolled in this class

What grade did you earn in COMM 330?*

Who was your COMM 330 professor?*

Semester you completed COMM 330*

Who is your COMM 330 professor?*

Please provide the name of one COMM faculty member or one current COMM peer mentor who can serve a reference for you*

In 150 words or less, please describe what areas (courses or subject matter) of communication in which you feel most proficient to tutor others*

In 150 words of less, please explain why you want to be a Peer Mentor for the COMM Tutoring Center*

By checking this box, I affirm the information provided on this application is true and accurate*

I affirm the information provided on this application is true and correct

Please confirm today's date*

Document Attachment Instructions

Please attach a document that includes the following information (please organize by class number in ascending order [i.e., starting with lower division courses]):

A list of *all* COMM classes you have completed at CSULB, including class number (e.g., COMM 411), grade earned, professor taken, and semester completed; be sure to include the core COMM classes that you reported above.
If you did NOT take a lower division COMM class at CSULB (e.g., Interpersonal Communication; Public Speaking; Argumentation & Debate; Small Group Communication) but you feel comfortable tutoring in that subject matter, please indicate this on the list as well.

Attach your document here*

Max. file size: 64 MB.

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Tutoring Center Application

Document Attachment Instructions