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{\bf \large Computer Science Division\\
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\Large READER APPLICATIONS FOR {\em PAID} READER POSITIONS \\ }
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(To work for CS300 Units, contact the instructor)
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NAME: \hrulefill\ 
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(print) \hfill Last \hfill First \hfill Middle Initial \hfill\
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ADDRESS: \hrulefill\
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PHONE: \hrulefill\ NETWORK ADDRESS: \hrulefill\
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BIRTHDATE: \hrulefill\ SOC. SEC. \#: \hrulefill\
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GPA: \hrulefill\ NUMBER OF UNITS ENROLLED THIS TERM: \hrulefill\
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COURSE(S) YOU WOULD LIKE TO BE A READER FOR: \hrulefill\
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WHEN DID YOU TAKE THE COURSES? \hrulefill\ GRADE(S) RECEIVED \hrulefill\
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STATUS: GRADUATE \hrulefill\ UNDERGRADUATE \hrulefill\
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{\bf PREVIOUS EMPLOYMENT:}

{\em READER/TUTOR EXPERIENCE (including CS300) } 

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COURSE: \hrulefill\ INSTRUCTOR: \hrulefill\ DATE: \hrulefill\
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COURSE: \hrulefill\ INSTRUCTOR: \hrulefill\ DATE: \hrulefill\
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{\em CURRENT OR PREVIOUS CAMPUS EMPLOYMENT}
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DEPARTMENT: \hrulefill\ POSITION: \hrulefill\
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DEPARTMENT: \hrulefill\ POSITION: \hrulefill\
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LANGUAGES AND COMPUTER SYSTEMS YOU'VE USED: \hrulefill\
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On the back of this sheet, list any other Computer Science Courses you've taken. Please state the semester/year and the grades you've received. {\bf After completing this application, please return it to 571 Evans.}
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Student's signature/Date: \hrulefill\

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{\bf This portion to be completed by instructor:}
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The formula to determine reader hours/week is: enrollment $x$ unit value of course (this may change -- check with Gene Lawler), divided by 30. The hours allotted for the semester will change to reflect the true enrollment. Use ACE enrollment figures only as an estimate.
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I have selected \hrulefill\ to read for course \hrulefill\. 
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Course enrollment is \hrulefill\. There is/are \hrulefill\ paid readers for this course.
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Instructor's signature/Date: \hrulefill\
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