| Please select your metropolitan area: (Fields marked with * are required)
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Personal Information
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| Salutation: * |
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| First Name: * |
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| Last Name: * |
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| Address: * |
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| City: * |
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| State: * |
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| Zip Code: * |
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| Home Phone: |
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| Work Phone: |
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| Cell Phone: |
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| Best way to reach you: |
Home Phone
Work Phone
Cell Phone
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| E-mail Address: * |
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| Date available to begin employment: |
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| Are you authorized to work in the United States? * |
Yes
No |
| If not, are you currently eligible to receive authorization to work? |
Yes
No |
| What is your current work/school situation and/or future plans? |
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| Town in which you live: * |
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| Town in which you work: |
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| Town in which you study: |
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| Do you have regular access to a car? * |
Yes
No
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| Do you have regular access to high-speed internet service? * |
Yes
No |
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Employment
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| Current Employer: * |
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| From: * |
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| To: * |
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| Job Title: * |
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| Responsibilities: * |
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| Previous Employer #1: |
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| From: |
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| To: |
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| Job Title: |
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| Responsibilities: |
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| Previous Employer #2: |
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| From: |
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| To: |
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| Job Title: |
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| Responsibilities: |
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Education
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| High School: * |
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| From: * |
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| To: * |
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| Did you graduate? * |
Yes
No |
| Undergraduate College/University: * |
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| From: * |
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| To: * |
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| Did you graduate? * |
Yes
No
Still Pursuing Degree |
| Degree: * |
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| Major/Minor: * |
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| GPA: * |
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| Graduate School and/or Additional Education #1: |
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| From: |
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| To: |
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| Did you graduate? |
Yes
No
Still pursuing degree |
| Degree: |
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| GPA: |
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| Graduate School and/or Additional Education #2: |
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| From: |
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| To: |
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| Did you graduate? |
Yes
No
Still pursuing degree |
| Degree: |
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| GPA: |
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SAT Math Scores: *
(Please enter “N/A” if you did not take this exam) |
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SAT Verbal Scores: *
(Please enter “N/A” if you did not take this exam) |
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ACT Score (Composite): *
(Please enter “N/A” if you did not take this exam) |
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| Are you a certified teacher? * |
Yes
No |
| If yes, is your certification active? |
Yes
No |
| For how long? |
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Experience
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| Describe your teaching and tutoring experience: * |
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| Describe any experience teaching or tutoring students with learning differences: |
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Subject Areas
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Specifically, which of the subjects below do you feel competent to tutor? If you are unable to tutor in a specific subject area, please select “Not Applicable.”
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Availability
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Which days and times are you available for tutoring? *
(Please list your most open availability; for example, if you are free most Tuesday evenings but not all, please list Tuesday evenings as available. Also, note that this question is required. If you are not available on a specific day, please select “Not Available.”)
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| Please describe any scheduling limitations? |
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General Comments
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| Please let us know anything else you would like us to consider when reviewing your application. |
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