Student Success Partnership Tutor Application

The Student Success Partnership is a grant-funded project in collaboration with the University of Redlands, School of Education, and the San Bernardino County Superintendent of Schools. The duties of the available position relate to the tutoring and mentoring of foster youth in group homes (home with 6 foster youth and professional staff).

Tutoring hours are in the afternoons and evenings and vary depending on group home assignment. You must provide your own transportation. There are carpooling options with other tutors, if available.
Success Academies are Saturday workshops at the University of Redlands and enhance student learning through designated themes. Tutors are required to attend. Required tutor meetings/training may follow each Success Academy from 2:30-4:00 pm.
All tutors will need to clear a Department of Justice/F.B.I. fingerprint background check and provide proof of a negative TB test dated within the past 2 years before working with students in foster care in group homes.

Thank you for showing interest in this program. Please complete all fields below, unless otherwise indicated as optional.

Once submitted, your application will be reviewed by:
Kelly Kwok and Catherine Walker ~ Co-Directors

Personal Information

Legal Name

First Name Middle Name Last Name

Phone Number

Area Code Phone Number

Email Address

Birth Date

Date

Social Security Number

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Language(s) (other than English)

Other Language(s)

Speak Read Write Fluent Some fluency

Additional information about other languages (use if needed)

**Optional:

** Gender

Male Female

** Ethnicity

Employment (List previous 3 with most current first)

Current or Last Employer

Time Employed

Job Title

Description of Duties

Employer 2

Time Employed

Job Title

Description of Duties

Employer 3

Time Employed

Job Title

Description of Duties

Two Professional References

Reference 1's Name

First Name Last Name

Company/organization

Email

example@example.com

Phone Number

Area Code Phone Number

Relationship

Reference 2's Name

First Name Last Name

Company/organization

Email

example@example.com

Phone Number

Area Code Phone Number

Relationship

Education (Most Current College/University Attended First)

Name of Current/Last Institution

Major/Program

Degree/Certificate

Date Completed

Cumulative GPA

Name of Previous Institution

Major/Program

Degree/Certificate

Date Completed

Cumulative GPA

Miscellaneous

Can you provide your own transportation?

Yes No

Are you willing to car pool with other staff members?

Yes No

Do you currently work or have worked for the University of Redlands?

Yes No

Have you passed a Department of Justice/F.B.I. background check and fingerprint clearance in the last 3 years?

Yes No

Have you taken a TB test in the past 2 years with negative results?

Yes No

If yes, please be prepared to provide a copy of your test results (background and TB).
If not, we can provide information on how and where to get these done. This process can take a week and has an added cost. Cost arrangements can be made.

Working with Youth

Please explain any experience you have tutoring middle school and high school aged students.

Do you have any experience working with youth with special needs (i.e. foster care probation, at-risk, learning disabilities, and/or English language learners)?

In what subject areas are you interested in tutoring? What are your strongest subjects? Are there any subjects in which you are not comfortable tutoring?

What unique skills/talents can you offer to the Student Success Partnership?

The success of this program depends on the commitment of its staff, which includes utilizing the personal network of professional/personal contacts of staff. Are you willing to provide appropriate contacts to improve this program? Please list possibilities.

Legal Information

Have you ever been convicted of a felony or misdemeanor, other than a conviction related to marijuana if it is more than two years after the date of the conviction, or do you currently have a felony or misdemeanor charge pending? Convictions include a plea of guilty, no contest, and/or a finding of guilty by a judge or a jury.

Yes No

If "Yes," list all convictions including, but not limited to convictions for "driving under the influence," and convictions for sex and/or drug offenses listed in California Education Code Sections 44010 and 44011, except for convictions related to marijuana if it is more than two years after the date of the conviction. Include any serious or violent felony conviction in any state or jurisdiction as enumerated in California Penal Code sections 667.6(c) and 1192.7(c).

Have you ever been dismissed from a job or asked to resign?

Yes No

If “Yes,” please explain below.

My submission of this application authorizes the Student Success Partnership to conduct a background investigation and authorizes release of information in connection with my application for employment. This investigation may include such information as criminal or civil convictions, driving records, previous employers and educational institutions, personal references, professional references, and other appropriate sources. I waive my right of access to any such information, and without limitation hereby release the Student Success Partnership and reference source (except in relation to prior contractual agreements, public policy, legal/labor/education code, former employers and their agents or employees, as provided by law) from any liability in connection with its release or use. This release includes the sources cited above and specific examples as follows: the local law enforcement agencies, information from the Central Criminal Records Exchange or either data on all criminal convictions or certification that no data on criminal convictions are maintained, information from the California or other State Department of Social Services Child Protective Services Unit and any locality to which they may refer for release of information to any findings of child abuse or neglect investigations involving me.

Furthermore, I certify that I have made true, correct and complete answers and statements on this application in the knowledge that they may be relied upon in considering my application, and I understand that any omission or falsely answered statement made by me on this application, or any supplement to it will be sufficient grounds for failure to employ or for my discharge should I become employed.

Based on above two paragraphs, I so authorize and certify. *

Yes No