Tutor Interest Form

Tutor Interest Form

Thank you for Showing interest in becoming a Part-time tutor with us.
Applicant Details:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years at this address:*
Date of Birth*

MonthDayYear
Date
Cell Number*
Format: (000) 000-0000.
Work Number*
Format: (000) 000-0000.
E-mail*
example@example.com
How did you hear about us?*
Please Specify (Name of other tutor, Job site, or school)*
Are you legally permitted to work in the U.S. and receive payment without restrictions?*

YesNo
Do you have reliable personal transportation? (no scooter, motorcycle, bus, UBER/LYFT or borrowed vehicle)*

YesNo
Do you have a computer with daily access to email and a working cell phone with texting functions?*

YesNo
Are you currently a student?*

YesNo
What College or University?*
Highest Degree Obtained: Select ONE*
Are you currently Employed?*

YesNo
Where? (What Company?)*
How long?*
Do you currently work with any other tutoring agency?*

YesNo
If YES, which one? (If NO, type "N/A"*
Check All that Apply:*

I am at least 19 years of AGE, PERMITTED TO WORK IN THE U.S., and PERMITTED to receive compensation without restrictionsI am available to tutor at least 8 hours per week between the hours of 2:30 - 8PM (during weekdays)I am available to start tutoring within 10 days of my hire dateI am available to take on a full case load of 8 hours or more per week within 15 days of my hire dateI am available to remain actively tutoring for a minimum of 9 months.I am comfortable going to the child's home to tutor knowing there WILL ALWAYS BE AN ADULT PRESENTI have reliable transportation of my own (no scooter, motorcycle, bus, UBER/LFYT)I have a computer with daily access to email and a working cell phone with texting functionsI DO NOT CURRENTLY work for another tutoring agencyI am able to pass a standard background check (traffic violations unimportant)
If you did NOT check all the boxes above, please explain*
Do you have prior experience teaching/tutoring?*

YesNo
Are you comfortable going to the child's home to tutor knowing there WILL BE AN ADULT PRESENT at all times*

YesNo
How soon are you available to start tutoring?
How many hours per week would you like to tutor?
Are you available to remain actively tutoring for a minimum of 9 months?*

YesNo
Are you able to pass a standard background check? (traffic violations are unimportant)*

YesNo
Tutoring takes place AFTER school hours. Please List the FROM/TO times you are available for tutoring. We need a response Monday through Sunday: EXAMPLE: Mon-Wed-Fri 3-8 pm / Tues 4-8/ Sat 9-4:*
What is your highest comfort level for teaching math : Select all that APPLY:*

NONEElementary Grade 1-5: Includes addition-subtraction-multiplication-division-simple fractions- ratiosMiddle School Grade 6-8: All elementary plus pre-algebra- basic angle geometryHS: Algebra 1HS: Algebra 2HS: GeometryHS: Pre- CalculusHS: CalculusHS: Probability and StatisticsHS: Liberal Arts MathHS: Integrated MathUpper Level (AP or College Level): TrigonometryUpper Level (AP or College Level): StatisticsUpper Level (AP or College Level): CalculusOther
What is your highest comfort level for teaching reading/language arts?*

NONEElementary Grade 1-5 Reading/Writing/Spelling/Phonics/Blends/Grammar/Comprehension /VocabularyMiddle School: Writing/ Comprehension/Grammar/Vocabulary/Syntax/CompositionHigh School: Includes all of the above advanced level plus SAT/ACT/GED prepStudy Skills/Organizational Skills- All Levels
Are you proficient in teaching any sciences?*

NONEPhysicsChemistryBiologyAnatomyOther:
Please select ONLY those specific levels or skills you are comfortable teaching NOW*

Experience with Autism SpectrumESOLESEChildren with disabilitiesNONE
Teaching Certifications*

Certified Florida TeacherCertified Teacher in Another StateCurrently teaching in Florida School PublicCurrently Teaching in Florida School PrivatePreviously taught in a Florida Public or Private School, but not currently teachingOther Certifications or skillsNOT a Certified Teacher (Not requirement for the position)
Please list any special skills. If none, write N/A*
Please list your primary language, and any other languages you are fluent in:*
Foreign Language Skills - FLUENT

CreoleSpanishFrenchPortugueseASL
What cities (please be specific …. list the cities) are within the radius in which you are willing to travel for a student?*
Questions or Comments
Please indicate several days and times you may be available for an interview.*
Please Upload your Resume*

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Please verify that you are human*
In what city do you work? (If not currently employed, type N/A)*
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