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SI Leader Application

SI Leader Application Form

  • Please list the activities you are involved with, your position and responsibilities, and the hours per week you devote to each activity.
  • Please describe and previous tutoring or mentoring experience .
  • Describe any other experience you have working with students.
  • Reference NameEmail Address 
    You must have a university reference. This should be an instructor who can verify your skills and knowledge to be an effective Leader.

Notice of Nondiscrimination
The University of Wisconsin-Oshkosh is committed to nondiscrimination on the basis of race, color, ethnic or national origin, sex, sexual orientation, gender identity, religion, age, ancestry, disability, genetic information, military status, veteran status, arrest or conviction record, or political affiliation in admissions, educational programs or activities and employment, including employment of disabled veterans and veterans of the Vietnam Era, as required by applicable laws and regulations. Inquiries concerning Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and the Americans With Disabilities Act Amendments Act of 2008, may be directed to the Director of Equity and Affirmative Action, University of Wisconsin-Oshkosh, 800 Algoma Boulevard, Oshkosh, Wisconsin, 54901 (Phone) 920-424-0330.