Tutor Application

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

E-mail Address*

Phone Number

Format: (000) 000-0000.

Birth Date

MonthDayYear

MaleFemaleOther

Ethnicity

How did you hear about us?

Are you able to work min 2 hours every week from February to April

What skills do you bring to DSB Homework Club?

If you have tutored before, tell us about it here.

Please choose the subjects that you would like to tutor.

Math and scienceSocial and EnglishBoth

Please tell us where and when you can work.

MondayTuesdayWednesdayThursday

Do you have access to a vehicle?

YesNo

Please tell us of any special skills you may have.

YesNo

Please tell us more

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 students. This enhances the learning experience and adds real value to the students 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

Profession/Relationship

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Second reference

Name

Profession/Relationship

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

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DSB Tutor Application