Math Lab Tutor Application | The Georgia Way

Math Lab Tutor Information:

Thank you for your interest in working in the Math Lab at the Rankin Smith Center! The Math Lab serves the needs of student-athletes desiring tutoring in MATH/PHYS/STAT/CSCI courses, as well as other math-related courses like MSIT 3000, PHIL 2500, and PSYC 3980. If hired, the job works as follows: at the beginning of each semester, you will submit an availability sheet showing hours that you are available to work. You will also tell us how many hours you are willing to work per week. We will then match up your availability with students needing tutoring that have similar availability. Your schedule will be set for the semester and will not exceed the number of hours you list that you would like to work. The pay is $10/ hour for undergraduate students and $12/ hour for graduate students/ You wold work with the same students 2-4 times per week for the entire semester.

Name:*

First Last

Home Phone Number:*

Cell Phone Number:*

Address:*

Street Address Address Line 2 City State ZIP Code

Email:*

Major:*

GPA:*

Classification:*

Graduate Student
UGA Faculty/Staff (Full Time)
UGA Faculty/Staff (Part Time)

Are you on an assistantship?*

Yes
No

Number of hours:*

AVAILABILITY

The Rankin Smith Center will be available for tutoring during the following times:
• Sun. 5pm-10pm
• Mon-Thurs: 7am-10pm
• Fri. 7am-4:30pm

How many hours per week are you available to work?*

*Please note that if you are on an assistantship, you cannot exceed 20 hours per week.

Please indicate the times in which you are available to work each day: (example: 1-5 PM)

Sunday:*

Monday:*

Tuesday:*

Wednesday:*

Thursday:*

Friday:*

REFERENCES

Please provide two names and contact information for character references that pertain to your instruction/communication skills and experiences.

Reference #1 Name:*

First Last

Relationship:*

Phone Number:*

Reference #1 Email Address:*

Reference #2 Name:*

First Last

Relationship:*

Phone Number:*

Reference #2 Email Address:*

PERSONAL HISTORY

Have you ever been charged with or subject to disciplinary action for scholastic or any other type of misconduct at any educational institution?*

Yes
No

Please explain.*

Have you ever been charged with a violation of the law which resulted in probation, community service, a jail sentence, or a revocation or suspension of your driver’s license?*

Yes
No

Please explain.*

What MATH/STAT courses have you taken, and what grades did you receive in those courses?*

Have you ever taken CSCI 1301, CSCI 1302, MSIT 3000, PSYC 3980 or PSYC 3990? If so, would you feel comfortable tutoring them? (This is not a requirement- people just don’t tend to realize that we provide tutoring for these courses as well.)*

Please attach a copy of your resume.*

Max. file size: 128 MB.

DISCLOSURE

We consider it a conflict of interest for a tutor to work with a student-athlete with whom they have a prior social relationship. While a prior relationship will not exclude you from employment at the Rankin Smith Center, prior relationships need to be documented.

Prior Relationships include (but are not limited to): social relationships (short and long term), romantic relationships (short and long term), family members, former teammates, RA’s, TA’s, GA’s, co-workers, team managers, and roommates. If you have a question about a prior relationship, please document it below and speak with a coordinator.

Part I:*

I have NOT had a prior relationship with any student-athlete (past, present, or incoming) at the University of Georgia.
I HAVE had a prior relationship with a student-athlete (past, present, or incoming) and understand that I am required to honestly document that relationship below.

Please explain your prior relationship with the student-athlete. (List their name and the nature of the relationship).*

Part II:*

I have NOT had a prior relationship with any coaches, support staff members or UGAA related organizations or departments (past or present) at the University of Georgia.
I HAVE had a prior relationship with a any coaches, support staff members or UGAA related organizations or departments (past, present, or planned) and understand that I am required to honestly document that relationship below.

Please explain your prior relationship with a coach, support staff member or UGAA related organization or department member. (List their name and the nature of the relationship).*

I will notify the Coordinator in the event of any change in relationship status. I understand as an hourly employee of the Rankin Smith Center, any violation of the UGAA Professional Ethics Policy* could result in immediate termination.*

I agree.

*The UGAA Professional Ethics Policy is located in Handbook.

Have you previously been employed by the University of Georgia Athletic Association?*

Yes
No

What was your previous position within the Athletic Association?*

ACKNOWLEDGEMENT

With my signature, I grant the Athletic Academic Support staff the right to review my academic records in order to verify information given, such as my GPA.*

Date:*