SEEK Tutors / SI Leaders / Study Hall Leaders / Workshop Facilitators
Contact Information & Availability Form
Spring 2014 Semester

All fields with an asterisk in the form below require information to be inputted; the last field in the form is optional. Upon submission if any required field is missing information you will be linked to a Web page that identifies the field; if this happens simply click on your brower's back button to return to the form. Once the form is submitted successfully you will be linked to a confirmation Web page.
*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip:
*Primary Email Address:
*Secondary Email Address:
*Cell Phone Number:
*Home Phone Number:
Repeat your cell phone number
if you use that as your main number
*Highest Degree Completed:
*Schedule of Availability for Spring 2014:
*Please indicate the days and times
that you will be available to work
during the spring 2014 semester.*
*Subject Expertise:
*Please indicate the "general
subejct areas" that you can tutor.*

*Specific Lehman Courses:
*Please list the "specific courses" at
Lehman College that you can tutor.*

*Please check-off all of the functional titles listed
below that idenifties the various capacities
which you will most likely be serving in
during the spring 2014 semester.*

 
Tutor:
SI Leader:
Study Hall Leader:
Workshop Facilitator:
*Bio / Profile:
*Please provide a brief summary about
yourself that highlights your academic
& personal achievements and that
can serve as a motivational and
inspirational testimonial
to students.*
(optional) Feedback / Suggestions:
*Please share your feedback regarding the
SEEK Program and the SEEK Learning
Center including any suggestions you may
have that can help us better support
you in your position as a Tutor
and better serve all students.*