SI Leader Application Form

Name Name * First Last
Student ID Number (100xxxxxxx number) *
NetID *
UTA Email Address *
Primary Phone With Voicemail Primary Phone With Voicemail * - ### - ### ####
Anticipated Major *
Classification *
Cumulative UTA GPA *
Previous Degrees Held (if none, please mark N/A) *
Expected Graduation Date (mm/yy) *
In which semester did you first enroll for classes at UTA? (mm/yy) *
Have you applied on Handshake? *

Have you applied on Handshake? Yes No
Are you currently employed at UTA? *

Are you currently employed at UTA? Yes-Division of Student Success Yes-somewhere else on campus No
If so, which department and what is your position?
Are you currently applying for other positions at UTA? *

Are you currently applying for other positions at UTA? Yes-Division of Student Success Yes-somewhere else on campus No
If so, which department and what position?
Subjects interested in leading for SI (Note: Preference will be given to students who completed the course at UTA with the professor teaching the selected course.) *

Subjects interested in leading for SI (Note: Preference will be given to students who completed the course at UTA with the professor teaching the selected course.) ASTR 1345 BIOL 1345 BIOL 1441 BIOL 1442 BIOL 2300 BIOL 2444 BIOL 2457 BIOL 2458 BIOL 2460 BIOL 3446 BIOL 3315 BLAW 3310 BSTAT 2305 BSTAT 3321 CHEM 1451 CSE 1320 CSE 2315 CSE 3318 ECON 2305 FINA 3313 INSY 2303 INSY 3300 MAE 2323 MANA 1301 MANA 3320 MARK 3321 MATH 1426 NURS 3365 NURS 3366 PSYC 3322
How did you hear about the SI Leader position? *
Please describe any previous tutoring, teaching, or coaching experience you have. *
What qualities do you have that would enhance the peer educator/student relationship? *
Why do you think students have trouble in the discipline(s) you want to SI? *
How would you use your expertise to assist students? *
Please write a paragraph offering information about yourself that you feel will be helpful. *
Will you be able to attend the mandatory training (tentatively scheduled for Aug 15-16, 2024) *

Will you be able to attend the mandatory training (tentatively scheduled for Aug 15-16, 2024) Yes No Unsure
Faculty Recommendation
Professor's Name *
Professor's UTA Email *
Professor's Subject Area *
Professor's Name
Professor's UTA Email
Professor's Subject Area

SI Leader Application Form

SI Leader Application Form

Faculty Recommendation