Supp-Ed Tutor Application Form

Tutor Application Form
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail Address *
Phone Number

Area Code Phone Number
Mobile *
Male/Female

Male Female
Birth Date

Month Day Year
US Citizen

Yes No
How did you hear about us?
When can you start working for us
What skills do you bring to Supplemental Education?
Please enter the age groups you are able to tutor.
Hold CTRL for multiple selections
If you have tutored before, tell us about it here.
Please list the subjects and levels you can teach.
Subject No 1
Subject No 2
Subject No 3
Subject No 4
Subject No 5
Subject No 6
Subject No 7
Subject No 8
Please state which
Do you have A Diploma?

Yes No
Please state which
Do you have A Degree?

Yes No
Please state which
Do you have A Teacher Qualification?

Yes No
Please state which
Are you working towards a Teaching Qualification?

Yes No
Please state which
Do you have any other qualifications?
Confirm you are eligible to work in the US

Yes No
Do you have a criminal prosecution pending?

Yes No
If yes please tell us about it here.
Please tell us where and when you can work.
Which days are you able to tutor?
Hold CTRL for multiple selections
Which times are you available.
Hold CTRL for multiple selections
Are you currently employed?

Yes No
Are you in full time education?

Yes No
Please tell us of any special skills you may have.
Have you worked with children with physical disabilities?

Yes No
Please tell us more
Have you experience of mental disorders e.g.ADHD?

Yes No
Please tell us more
Please tell us a little more about yourself, what motivates you, your passions and plans.
We aim to provide a great match between the tutor and the student. This enhances the learning experience and adds real value to the student and the tutor. To help us make this match give us some idea of your interests, hobbies etc.
Please provide the names of two organisations or professionals we can use as references. (These cannot be family or friends.)
First reference
Name
Telephone
Email
Profession/Relationship
Second reference
Name
Telephone
Email
Profession/Relationship
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Upload your Resume
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Tutor Application Form

Do you know someone who would be a great fit for our tutoring program?