Writing Champions Application

Name Name First Last
Student I.D.
TCC Email
Personal Email
Mobile Phone Mobile Phone - ### - ### ####
Home Phone (If different from mobile) Home Phone (If different from mobile) - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Which TCC English faculty member recommended you?
Briefly explain how the Writing Champions program will further your academic and/or professional goals? (100 word limit.)
What are two strengths you possess that qualify you to be a writing champion? Please write below.