Tutor Application

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

E-mail Address*

Phone Number

Birth Date

MonthDayYear

Male/Female

MaleFemale

How did you hear about us?

When can you start working with us

What skills do you bring to The Harvest Learning Center?

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, these are those you would be expected to teach.

Subject No 1

Subject No 2

Subject No 3

Subject No 4

Subject No 5

Subject No 6

Do you have A Diploma?

YesNo

Please state which

Do you have A Degree?

YesNo

Please state which

Do you have A Teacher Qualification?

YesNo

Please state which

Are you working towards a Teaching Qualification?

YesNo

Please state which

Do you have a current CRB/

YesNo

Date Obtained

MonthDayYear

Organisation who provided

If not do you agree to supply a CRB check?

YesNo

Do you have a criminal prosecution pending?

YesNo

If yes please tell us about it here.

Please tell us where and when you can work.

Do you have a driving license?

YesNo

Do you have access to a vehicle?

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?

YesNo

Are you in full time education?

YesNo

Please tell us of any special skills you may have.

Have you worked with children with physical disabilities?

YesNo

Please tell us more

Have you experience of mental disorders e.g.ADHD?

YesNo

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 referee

Name

Profession/Relationship

Phone Number

Please enter a valid phone number.

Email

example@example.com

Second referee

Name

Profession/Relationship

Phone Number

Please enter a valid phone number.

Email

example@example.com

Browse you computer or network to upload your CV

Upload your CV

Browse you computer or network to upload your Profile Picture

Upload your Picture

Optional

Browse you computer or network to upload your CRB (If applicable)

Upload your CRB