SI Leader Application

Name

M#

Email address

Telephone number

Student classification

Major

What course(s) do you wish to be considered for as an SI Leader:

Did you successfully complete the course in which you wish to lead?

If so, what grade did you receive in the course?

Name of instructor

Why are you interested in becoming a SI leader?

What do you currently know about supplemental instruction (SI)? What does it mean to you?

If selected, how many semesters can you commit to serving as SI leader?

References including contact information (personal, employers, instructors)

Completed application will automatically be emailed to Dr. Cornelia Wills.

Transcript to be submitted upon request.

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Last Updated: Aug 25, 2023