Mathnasium of Roanoke
3555 Electric Road, Suite F, Roanoke, VA 24018
Employment Application Form
Thank you for your continued interest in Mathnasium! After completion of this application you may be contacted by email to request an interview.
Personal Information
Full Name
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First Name
Last Name
E-mail
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Phone Number
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-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you over the age of 18?
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Yes
No
Are you legally able to work in the U.S.?
*
Yes
No
Position Information
What position are you applying for?
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Please Select
Math Instructor / Tutor
Desired Salary (per hour)
Instructor salary range: $13-$16/hr
How were you referred to us?
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Internet Search
Employee Referral
Indeed
ZipRecruiter
Handshake
Facebook
Friend / Family
Walk-in
Other
If employee referred, enter the name of the employee.
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First and Last Name
Availability
Available Start Date
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/
Month
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Day
Year
School Year Availability (Sep - May)
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All 2:45 PM to 7:45 PM
2:45 PM to 5:00 PM
3:45 PM to 6:15 PM
5:00 PM to 7:45 PM
Other
Not Available
Monday
Tuesday
Wednesday
Thursday
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All 8:45 AM to 1:30 PM
Not Available
Saturday
Summer Availability (Jun - Aug)
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All 1:45 PM to 7:45 PM
1:45 PM to 4:00 PM
3:45 PM to 6:15 PM
5:00 PM to 7:45 PM
Other
Not Available
Monday
Tuesday
Wednesday
Thursday
Desired Hours per Week
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Less than 10
10 to 15
15 to 20
more than 20
Background Information
What is the highest level of education you have completed?
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8th Grade
9th Grade
10th Grade
11th Grade
High School diploma or equivalent
Some College, no degree
Associate Degree
Bachelor's Degree
Post-graduate Degree
List the schools you have attended, starting with high school.
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Name of School
Dates Attended (Month Year)
Majors / Minors
Did you graduate?
If so, list degree
1
2
3
4
5
What math concepts are you proficient in?
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Elementary Math
Pre-Algebra
Algebra I
Geometry
Algebra II
Trigonometry
Pre-Calculus
Statistics
Calculus
Provide explanation about your math competency, including participation in math clubs or competitions, math scores on the SAT or ACT, etc.
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Describe your experience or skills teaching or tutoring, working with children, leadership roles in organizations, etc.
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Why are you interested in working for Mathnasium?
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References
List two professional references. At least one must be a teacher, professor, supervisor, or other individual in a leadership role over you. Do not list family members.
References
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Name
Relationship
Phone
Email
1
2
Applicant Statement
I have answered all questions to the best of my ability. If employed, I realize false information will be grounds for dismissal. I understand that the completion of this application obligates neither me nor the employer to pursue the application or employment process.I authorize Mathnasium or its representative to contact anyone it deems appropriate to verify information I have given or to discuss my background, past performance, or suitability for employment. I also consent to being discussed by persons contacted and waive all rights to bring any action for defamation, invasion of privacy, or similar cause against anyone contacted. I understand that if offered a position, I will be required to submit employment eligibility proof (I-9) and pass a criminal background check.I understand that the position for which I am applying is an “at-will” position and that if I become employed either I or the employer may terminate the employment at any time with or without cause or notice.
Signature
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Date
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/
Month
/
Day
Year
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