Please Submit This Application with a Copy of Your
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SDSU Supplemental Instruction (SI) Leader Application
**Please submit this application with a copy of your unofficial transcripts.
Name SSN Phone # Jacks E-mail @jacks.sdstate.edu Local Address Student ID Major/Minor
Subject(s) you wish to be considered for as an SI Leader: Accounting 210 Biology 101 Biology 151/153 Biology 221 (Anatomy) Biology 325 (Physiology) Chemistry 106 Chemistry 108 Chemistry 112 Chemistry 112 Lab Chemistry 114 Chemistry 114 Lab Chemistry 326/328
Will you be able to attend lecture for the course you wish to lead? YES NO If selected for this position, are you able to attend the SI leader training? YES NO Did you successfully complete the course(s) for which you would like lead SI? YES NO If no, please explain
Are you eligible for Federal Work Study? YES NO NOT SURE
What grade did you receive in the course(s)?
List the number of credit hours you will be enrolled during next semester: ______
(Over, please) Describe your involvement in clubs, organizations, part-time employment, etc.: ______
Why are you interested in being an SI Leader, and why do you feel you would be a good candidate?
What advice would you give freshmen to help them become successful students?
Describe three study strategies that have helped you perform well in your classes.
References Two references are necessary for a complete application. Please distribute two recommendation forms. One of the forms must be completed by a faculty member who teaches in the subject area that you wish to lead SI in. The completed forms should be returned directly to one of the SI Program Coordinators at the addresses below.
For more information, please contact one of the SI Program Coordinators listed below:
Nathan Bylander Brookings, SD 57007 TRiO Student Support Services Phone: 605-688-4155 Box 2806, SLC 104 [email protected] Brookings, SD 57007 Phone: 605-688-6653 [email protected]
Linde Murray Wintrode Tutoring and SI Programs Box 2214, SWSC 110