| First Name:* |
|
| Last Name:* |
|
| Home Phone:* |
|
| Cell Phone: |
|
| Email Address:* |
|
| Address1:* |
|
| Address2: |
|
| City:* |
|
| State:* |
|
| Zip Code:* |
|
| Region |
|
| Do you have a Car for Transportation to Tutoring Sessions?:* |
Yes
No
|
| How did you hear about us?* |
|
| Education/Background (Please list where you attended each degree) |
| Highest Degree?* |
|
| High School: |
|
| Bachelors Degree |
| Institute:* |
|
| Major:* |
|
| Minor: |
|
| Masters Degree |
| Institute: |
|
| Major: |
|
| Minor: |
|
| Ph.D |
| Institute: |
|
| Major: |
|
| |
| Other areas of study: |
|
| Teaching Certificate?: |
Yes
No |
| If yes, in what subject(s): |
|
| Do you have any special skills or training that
will aid in the development of our students? |
| What Grades/Subjects?: |
|
| Please Describe Prior Tutoring Experience: |
|
| Comments: |
|
| Resume:* (.doc or .pdf file. Max Size 1 MB) |
|
| Grade Levels Qualified to Tutor? |
|
PreK-K |
Elementary School |
|
Middle School |
High School |
|
College/Adult |
| Official background information |
| Have you ever been convicted of any crime, whether a misdemeanor or
felony?:* |
Yes
No |
| If yes, when, where and for what crime?: |
|
| Do you agree to a background investigation including a criminal
background investigation?:* |
Yes
No |
| Subject Matter Expert |
| (Please select only two) |
| English |
Sciences |
| Language |
Business |
| Math |
Test Preparation |
| Tutor Subjects |
|
Upon selecting a subject, a box will appear that requires you to identify your level of confidence in teaching that subject. For each subject that you have selected, please rank your confidence level on a scale of 1 to 5.
|
|
Please use the following definitions to determine your confidence level:
|
|
5- Absolute Confidence. I can teach this subject matter without any preparation.
|
|
4- Confident. I can teach this subject, but need to talk with the student before the tutoring session.
|
|
3- Somewhat Confident. I know the subject, but would need to refresh my skills before tutoring it.
|
|
2- Very Little Confidence. I have studied this subject, but would need to reteach myself the material before ever tutoring it.
|
|
1- No Confidence. I should not be teaching this subject.
|
|
| General Subjects |
| Accounting |
Computer Training |
| English |
Learning Disabilities |
| Math |
Science |
| Statistics |
Study/Organizational Skills |
| American History |
World History |
| Ancient History |
Sociology |
| Geography |
Social Studies |
| Computer Training |
| Java Programming |
C++/Object Oriented Programming |
| English |
| Grammar |
Handwriting |
| Phonics |
Reading |
| Spelling |
Vocabulary |
| Writing Skills |
Editing College Papers |
| Foreign Language |
| ESL (English as a Second Language) |
French |
| German |
Arabic |
| Italian |
Latin |
| Spanish |
Chinese |
| Japanese |
Korean |
| Hebrew |
Russian |
| American Sign Language |
|
| Learning Disabilities |
| ADD |
ADHD |
| Dyscalculia |
Dyslexia |
| Math |
| Algebra |
Algebra II |
| Calculus |
Decimals |
| Geometry |
Pre-Algebra |
| Pre-Calculus |
Trigonometry |
| Science |
| Anatomy |
Biology |
| Cellular Biology |
Chemistry |
| Organic Chemistry |
Inorganic Chemistry |
| Earth Sciences |
General |
| Psychology |
Physics |
| Standardized Test Prep |
| ACT (Verbal) |
ACT (Math) |
| GED (Math) |
GED (Language Arts) |
| GED (Science) |
GED (Social Studies) |
| GRE (Quantitative) |
GRE (Verbal) |
| SAT (Math) |
SAT (Verbal) |
| GMAT (Quantitative) |
GMAT (Verbal) |
| DAT |
LSAT |
| Praxis I |
Praxis II (Math) |
| Praxis II (English) |
Praxis II (History) |
| IELTS |
TOEFL |
| Business |
| MBA |
Human Resource Management |
| Finance |
Marketing |
| MicroEconomics |
MacroEconomics |
| Legal Studies |
| Constitutional Law |
Contracts |
| Civil Procedure |
Property |
| Torts |
Legal Writing |
| Political Science |
|
| Religions |
| Islamic Studies |
Biblical Studies |
| Judaic Studies |
World Religion |
| Theology |
|
| Most of our tutoring occurs in the afternoon, evenings and the
weekends. Are you available to tutor during these times: |
Yes
No |
| Will you be able to tutor before 3pm on weekdays: |
Yes
No |
| Signature:* |
|
| Date:* |
|
|