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* 1. Which of the following categories best describes your employment status?

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* 2. Name

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* 3. FIDN

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* 4. Do you have previous experience in tutoring?

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* 5. Courses Taken

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* 6. Have you taken other high level courses? If so, please list them.

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* 7. Please list 1-3 CIS Faculty References

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* 8. Please list your available days and hours in the Lincoln Center Campus

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* 9. Please list your available days and hours in the Rose Hill Campus

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* 10. Year

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