Employment Application
KEONI Learning and Assessment
Applicant Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
What position are you applying for:
*
K-6 Tutor (Union City)
7-10 Tutor (Union City)
Summer Camp Instructor (June & July)
If attending school, please provide school name:
What year are you in?
Please Select
High School Senior
College - 1st Year
College - 2nd Year
College - 3rd Year
College - 4th Year
Graduate Student
College Grad
Other
Current or Final GPA
For High School and College Students Only
How did you hear about us?
If referral, who?
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Academic/Tutoring Preferences
Please select all that apply
I feel most comfortable working with children in the following grades:
*
PreK-Kindergarten
First-Fifth
Sixth-Eighth
High School
I am able to tutor students in the following subject areas:
*
Math K-5
Reading K-8
Math 6-8
Writing K-8
Pre-Algebra
Honors/AP English
Algebra 1
AP History
Algebra 2
AP Biology
Trig/Pre-Cal
AP Physics
Calculus AB
Honors/AP Chemistry
Calculus BC
Geometry
Other
I am able to tutor students in the following languages:
Be specific with language and highest level
I work best as or am willing to tutor a child who is:
*
Behind in their grade and is in need of catching up
On-level but needs extra motivation or enrichment
Hyperactive, has trouble concentrating, and/or has some learning difficulties
Exhibits some behavioral or emotional challenges
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Weekly Availability (8-hour minimum for August - May)
Rows
Monday
Tuesday
Wednesday
Thursday
2:30 pm - 3:30 pm
3:30 pm - 4:30 pm
4:30 pm - 5:30 pm
5:30 pm - 6:30 pm
6:30 pm - 7:30 pm
Weekly Availability (June and July)
Rows
Tuesday
Wednesday
Thursday
3:30 pm - 4:30 pm
4:30 pm - 5:30 pm
5:30 pm - 6:30 pm
Summer Camp Only (June-July)
Rows
Life Skills Camp (9:00 am - 12:00 pm) Mon-Thu
Academic Camp (12:30 pm - 3:30 pm) Mon-Thu
Week 1: June 15
Week 2: June 22
Week 3: July 5
Week 4: July 13
Week 5: July 20
Week 6: July 27
Date Available To Start Work
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Any Special Notes About Availability
Pay Range:
*
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Employment History:
Date Employed
Summary of Duties
Dates Employed
Summary of Duties
Summary of Experience working with kids:
If you have never been employed before, please tell us why you would be a good candidate to work at KEONI Learning?
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References
These people can be teachers, professors, previous employers or non-family member
Please list at least 2 people who are familiar with your academic performance and professionalism:
*
Resume and Cover Letter
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By signing this application, I hereby certify that the above information is complete, accurate, and has been prepared by me. I understand that knowingly or negligently false, incomplete, or misleading information can result in the withdrawal of any job offer or dismissal from the position.
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