Please Return Form to: 
North Harris College
Learning Center
Attn: Tutor Trainer/Coordinator
2700 W.W. Thorne Dr.
Houston, TX 77073-3499

Tutoring Form of Interest
Please print.

Content Area(s) of Interest: _________________________  

Date: ___________________

Name: __________________________________________________________
		
Address: ________________________________________________________

Home Phone: ______________________ Cell Phone: ____________________

E-Mail: __________________________________________________________

Availability: ________________________    _____________________________
                Days  				        Times

Highest Education completed in area of interest: _________________________

Please Circle:

Non-student			Adjunct		Student at another institution

NHMCCD student		Former NHMCCD student

Previous tutoring/teaching experience: _________________________________

________________________________________________________________

CRLA certification?   	Y/N		Level completed? _________

How did you learn of tutoring positions at NHC? __________________________

If referred, by whom? _______________________________________________
				Name/Title

Thank you for your interest. Please return this form to the NH Tutor Coordinator in the Learning Center.