Grader Application Form

Last Name: First Name:

Salutation: Mr. Ms.

Major/College:

Expected Graduation Date:

Student ID Number:

Have you worked on campus before? Yes No

Local Address:

Street:

City: State: Zip Code:

Local Phone:

E-mail Address:

Home Address:

Street:

City: State: Zip Code:

Home Phone:

List the Math Courses you have taken at Notre Dame

	Course Number	Grade	Instructor
1.
2.
3.
4.
5.
6.

List the Math Courses you have taken from another college. Please include your grade.

Course/Grade

1.
2.
3.
4.

Please give us any information that you feel would be valuable with regards
to your becoming a corrector.

Assignments will be mailed to your home address during the summer for the Fall Semester and over the holiday break for the Spring Semester. If you do not receive an assignment, please let the Department know if you want your application kept on file. If so, keep your application updated.