Jewel Minds Tutor Application Form

Jewel Minds Tutor Application Form

Apply to become a tutor with Jewel Minds. Please complete all sections to help us understand your experience, skills, and fit for our team.
SECTION 1 — Personal Information

Tell us about yourself.
Full Name*

First NameLast Name
Pronouns*
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
City/State*
Time Zone*
Are you legally authorized to work in the United States?*

YesNo
Preferred method of communication*

EmailTextPhone
SECTION 2 — Educational Background

Share your academic qualifications.
Highest degree earned*

Bachelor’sMaster’sDoctorateOther
Institution Name*
Major / Area of Study*
GPA (optional)
Relevant certifications

NYS Teaching CertificationSpecial Education CertificationTESOL/ESLReading SpecialistOther
SECTION 3 — Teaching & Tutoring Experience

Describe your teaching and tutoring background.
Years of tutoring/teaching experience*

0–12–34–67+
Grade levels taught

K–23–56–89–12College
What subjects do you feel confident teaching?*
Do you have experience working with students with IEPs, 504 plans, or learning differences?*

YesNo
If yes, please describe your experience.
Describe your teaching or tutoring style. What makes your instruction effective?*
SECTION 4 — Instructional Skills & Philosophy

Share your instructional approach and philosophy.
How do you differentiate instruction for diverse learners?*
How do you build rapport with students?*
How do you handle a student who is disengaged or struggling emotionally?*
What does culturally responsive teaching mean to you?*
How do you incorporate executive functioning support into your sessions?*
SECTION 5 — Availability & Logistics

Tell us when and how you are available.
Weekly availability*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Preferred times*
Available for in person sessions?*

YesNo
Available for virtual sessions?*

YesNo
Open to teaching group classes?*

YesNo
Available during school breaks/summer?*

YesNo
Earliest start date*
SECTION 6 — Technology & Tools

Technology requirements for tutoring.
Do you have reliable Wi Fi?*

YesNo
Do you have a working laptop or tablet?*

YesNo
Comfortable using Google Docs, Zoom, and digital organizers?*

YesNo
Comfortable learning new instructional tools?*

YesNo
SECTION 7 — Alignment With Jewel Minds

Your fit with our mission and services.
Why do you want to work with Jewel Minds?*
Which service tiers are you comfortable delivering?*

Foundations (Tier 1)Momentum (Tier 2)Brilliance (Tier 3)Group ProgramsAdd On Services
Will you use Jewel Minds templates and materials?*

YesNo
Comfortable completing session notes, check ins, and progress trackers?*

YesNo
Willing to participate in periodic training sessions?*

YesNo
SECTION 8 — Compensation & Commitment

Compensation and commitment expectations.
Are you comfortable with the Jewel Minds compensation structure (60–70% depending on tier)?*

YesNo
Are you willing to commit to at least one full semester?*

YesNo
Should be Empty:

Jewel Minds Tutor Application Form

SECTION 1 — Personal Information

SECTION 2 — Educational Background

SECTION 3 — Teaching & Tutoring Experience

SECTION 4 — Instructional Skills & Philosophy

SECTION 5 — Availability & Logistics

SECTION 6 — Technology & Tools

SECTION 7 — Alignment With Jewel Minds

SECTION 8 — Compensation & Commitment