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Learning Success Coach Application
Thank you for your interest in joining our team.
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1
Name
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First Name
Last Name
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2
Address
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Street Address
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City
State / Province
Postal / Zip Code
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Canada
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Fiji
Finland
France
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The Gambia
Georgia
Germany
Ghana
Gibraltar
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Indonesia
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Israel
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Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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3
Cell Phone Number
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Area Code
Phone Number
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4
Home Phone Number
Area Code
Phone Number
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5
Email
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example@example.com
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6
Do you have adequate and reliable transportation to our locations for in-person sessions?
*
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Glenview and Lincolnshire
YES
NO
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7
Are you allowed to work in the U.S?
*
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YES
NO
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8
How many years of teaching or tutoring experience do you have?
*
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0 years/none
1 or more years
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9
What's the highest level of education you've completed?
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High School
Associate's degree
Bachelor's degree or higher
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10
Are you available to work from 3:45-8:00pm on at least
some
of the following days: Monday, Tuesday, Wednesday, Thursday?
*
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YES
NO
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11
What are your preferred geographic service areas? What are the geographic service areas to which you are willing to travel? Check all that apply.
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near north Chicago suburbs (Glenview area)
north Chicago suburbs (Lincolnshire area)
northwest Chicago suburbs (Barrington area)
Other
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12
Date available to start the position?
*
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-
Date
Year
Month
Day
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13
What days & hours are you generally available to coach students during the school year?
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14
Which position are you applying for?
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K8 Group Core
Please Select
Please Select
K8 Group Core
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15
Do you have experience teaching/tutoring math through algebra 1?
*
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YES
NO
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16
Is English your native or first language?
*
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YES
NO
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17
University and date of graduation
*
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18
University degree earned and major
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19
Do you hold a teaching certificate and/or additional skills or training?
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20
Please list your previous standardized test scores (ACT, SAT, GRE, GMAT, LSAT, MCAT, etc.). List score breakdown if known.
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21
Please upload your resume
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Please make sure your resume includes previous employment history and other related experience. If there are any questions that you already covered in your resume, you don't have to fill out unless it's required question.
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Elementary
*
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Early or elementary education degree or training highly desired. List skill areas under "Other."
K Yes
1 Yes
2 Yes
3 Yes
4 Yes
5 Yes
Other
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23
Middle School
*
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List subject(s) under "Other."
6 Yes
7 Yes
8 Yes
Other
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24
Math
*
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Algebra 1
Algebra 2
Geometry
Trigonometry
Pre-Calculus
Calculus
Statistics
Other
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25
Science
*
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Earth Science
Biology
Chemistry
Physics
Other
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26
English/Language arts:
*
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27
Foreign languages (& levels):
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28
Social Science:
*
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World History
US History
European History
Economics
Psychology yes, if it's an Intro class
Other
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29
Other subjects:
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30
Current or Most Recent Employment
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31
Dates employed there
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32
Title or Position Held
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33
Name & Title of Direct Supervisor
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34
Email address of Direct Supervisor
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35
Personal Reference 1: Name
*
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36
Reference 1 email address
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37
Personal Reference 2: Name
*
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38
Reference 2 email address
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39
Have you ever worked as a private tutor or for a tutoring company? If yes, please give details.
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40
How did you hear about our company?
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41
Are any lawsuits pending against you?
*
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If yes, please describe in separate sheet and submit along with the resume.
YES
NO
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42
Have you ever been convicted of a crime (except traffic misdemeanors)?
*
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If yes, please describe in separate sheet and submit along with the resume.
YES
NO
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43
Why do you want to work with Excellerate Learning Studio as a Learning Success Coach?
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44
What rate of pay would be acceptable to you? ($ amount/hour)
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Please do NOT put just 'negotiable'. We would like to see the desired dollar amount.
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45
Please let us know more about you. Feel free to use the space below to tell us anything you would like us to know about yourself.
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46
Signature & Confirmation
I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize More Than Scores And Tests, Ltd. to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application.
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47
Today's Date
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