Undergraduate Grader/Course Assistant Application Form

Applying for position as Grader ___ or Course Assistant ___ ?

Please complete and submit to Catherine Stevens (mathgrader@cornell.edu), 316 Malott Hall.

Name: ____________________________________________ Date: _____________

Local Address ________________________________________________________

Local Phone ________________ Cornell NetID _________ CU ID#___________

Permanent Address & Phone ____________________________________________

Are you Cornell Federal Work Study (FWS)? Yes / No (circle one)

College ____________ Major ________________ Graduation Date __________

Citizenship _____________ I-9 on file at Cornell? Yes / No (circle one)

Previous Experience (grading, tutoring, etc.) as well as any relevant extracurricular activities:

Course Assistant Preferences (check one):

___ Prefer Calculus I (MATH 1110)

___ Prefer Calculus II (MATH 1120)

___ No preference

Grading Preferences (listed in order of preference)

Number of hours you would like to work per week): __________ (no less than 5)

Contacts (people who can comment on your abilities):

* * * * * * * * * * * * * * * * *

TO BE COMPLETED BY SUPERVISOR:

Effective Date _______________   Position ___________________________

Hourly Rate __________________   Account Number _____________________

Last modified: March 18, 2008