Skip to main content
Submit Search
Toggle navigation
Upward Bound
Home
Apply Now
Current Scholars
Scholar & Family Resources
Our Staff
Join the Team
Alumni
Donate
Home
/
Join the Team
/
Supplemental Instructor Application
Supplemental Instructor Application
Supplemental Instructor
"
*
" indicates required fields
Contact Information
Required fields marked with *
Name
*
Required
First
Last
Local Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Daytime Phone
*
Required
Email
Occupation/Career
Employer
Shirt Size
XSmall
Small
Medium
Large
XLarge
Education
College
Degree
Major/Concentration
Graduate School
Degree
Major/Concentration
Licenses/Credentials
General Information
Have you worked with an Upward Bound or other TRiO Pre-College Program in the past?
Yes
No
If yes, specify Program Location and Date:
Date
Please select any Affiliation you have had with UNC-Chapel Hill in the past 12 Months.
Undergraduate
Graduate Student
Faculty
EHRA Employee
SHRA Employee
No Affiliation
PID
Department
Title
Please select any Affiliation you have had with any UNC System School in the past 12 Months.
Undergraduate
Graduate Student
Faculty
EHRA Employee
SHRA Employee
No Affiliation
Institution
Department
Title
General Information
Program location and dates of participation
Have you worked with an Upward Bound Program?
Yes
No
Program location and dates
Please indicate the Subject Area(s) you are interested in providing Supplemental Instruction for
Biology/Chemistry
English
History
Spanish
Math
I am fully aware of the Expectations and Time Commitment required as an Supplemental Instructor. I understand that Supplemental Instructors are required to facilitate Academic Courses and participate in other Activities as assigned. If I am selected, I understand that I will be required to complete a Background Check as required by The University of North Carolina at Chapel Hill prior to being appointed. By signing this Application, I agree to fulfill the Obligations set forth by TRiO/Upward Bound, the Carolina Higher Education Opportunity Programs (CHEOP) Office and the University, if selected.
Initials
Resume
Max. file size: 98 MB.
Δ