SI Leader Application

SI Leader Application Form

Name*
First Last
Student ID Number*
Email Address*
Year in School*
- Freshman
- Sophomore
- Junior
- Senior
- Graduate Student
Academic Major*
Academic Minor
Expected Semester of Graduation*
In which courses do you feel qualified to lead review sessions?*
Are you presently working in another department on campus or in an off-campus job? If so, please list your position(s) and hours worked each week.
Campus Involvement
Please list the activities you are involved with, your position and responsibilities, and the hours per week you devote to each activity.
Previous Tutoring or Mentoring Experience
Please describe and previous tutoring or mentoring experience .
Experience Working with Students
Describe any other experience you have working with students.
Reference*
Reference Name Email Address

You must have a university reference. This should be an instructor who can verify your skills and knowledge to be an effective Leader.
Why do you want to be an SI Leader, and how would this position contribute to your career plans?*
If hired, how do you plan to successfully balance the commitment of being an SI Leader with your own course load and other personal responsibilities?*
What do you enjoy most about the subject that you are applying for? What do you enjoy the least?*
What are some of the strategies you used to be successful in this course, and what strategies would you use in SI sessions to help other students learn the material?*
Briefly describe an academic challenge you have had and how you dealt with it.*
What challenges do you foresee with this position, and how might you overcome them?*
How would you encourage students to attend sessions?
Is there any other information that you would like to include? If so, list below.
I have read the position description of an SI Leader on the CAR website.*
- Yes

Notice of Nondiscrimination
The University of Wisconsin-Oshkosh is committed to nondiscrimination on the basis of race, color, ethnic or national origin, sex, sexual orientation, gender identity, religion, age, ancestry, disability, genetic information, military status, veteran status, arrest or conviction record, or political affiliation in admissions, educational programs or activities and employment, including employment of disabled veterans and veterans of the Vietnam Era, as required by applicable laws and regulations. Inquiries concerning Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and the Americans With Disabilities Act Amendments Act of 2008, may be directed to the Director of Equity and Affirmative Action, University of Wisconsin-Oshkosh, 800 Algoma Boulevard, Oshkosh, Wisconsin, 54901 (Phone) 920-424-0330.

Reference Name	Email Address

SI Leader Application Form

Summer Hours