formerly University of Missouri-Rolla
LEAD Program

Application to be an undergraduate Peer Learning Assistant

...(either as a Peer Tutor for small group/individual tutoring or a Peer Instructor in a learning center to guide collaborative problem solving)

Full Name
Student Number
E-mail address
Local Phone
Local Street Address
Local Apartment Number
Major
Cumulative G.P.A.
Credits currently enrolled this semester
Credits completed
Are you presently employed by Missouri S&T? Yes
No		 If yes, in which
department?
Are you receiving work-study? Yes
No
How many hours would you like to work each week?
What is the maximum number of hours you could work each week?
Interests and Qualifications
Please check in the boxes below the specific course(s) for which you are interested in being a Peer Learning Assistant -- and in which you have received a grade of A. (The LEAD Program requires that its peer tutors and peer instructors have earned an A in the course for which they are providing learning assistance). Also indicate if you took the course at Missouri S&T.
Course Department & Number Taken at Missouri S&T?
Math 8 yes no
Math 21 yes no
Math 22 yes no
Basic Engineering 50 yes no
Basic Engineering 110 yes no
Chemistry 1 or 5 yes no
Chemistry 3 yes no
Physics 21 or 23 yes no
Physics 24 or 25 yes no
Computer Science 53 yes no
Computer Science 153 yes no
Computer Science 158 yes no
Biological Sciences 110 yes no
Electrical Engineering 151 yes no
Electrical Engineering 153 yes no
Computer Engineering 111 yes no
Economics 121 yes no
Economics 122 yes no
Philosophy 15 yes no
Engineering Mechanics 160 yes no
Mechanical Engineering 219 yes no
Civil Engineering 230 yes no
Civil Engineering 234 yes no
Info Science & Tech 51 yes no
Info Science & Tech 151 yes no
Please specify any other courses in which you received a grade of A and for which you are interested in being a Peer Learning Assistant.
  Department Number    
yes no
yes no
yes no
yes no
yes no
Why do you want to be a LEAD Peer Learning Assistant?

Go Back to the Requirements and Expectations of LEAD Tutors