FRANKLIN EDUCATIONAL SERVICES Independent Contractor Form

	Rating
Elementary Writing Instruction
Spelling Instruction
Decoding/Phonics Instruction
Reading Comp Instruction
Writing Mechanics/Grammar
Language Arts Instruction
Literature/English
History
Art History
Political Science

EXPERIENCE
Do you have a teaching credential?*
If "Yes," please specify:
Have you taken any courses in education? / Do you have professional teaching experience?*
If "Yes," please specify:
Do you have a SpEd Credential?*
If "Yes," please specify:
Have you taken any SpEd courses? / Do you have professional experience working with SpEd students?*
If "Yes," please specify:
Do you hold any certifications in Reading Instruction?*
If "Yes," please specify:
Have you taken any courses in Reading Instruction? / Do you have professional experience working with students in Reading Instruction?*
If "Yes," please specify:
Have you ever worked for a Tutoring Company? / Do you have professional tutor experience?*
If "Yes," please specify:
Have you ever worked for a Test-Prep Company? / Do you have experience teaching Test-Prep?*
If "Yes," please specify:
What do you like about teaching?*

ACKNOWLEDGEMENTS / CONSENT
Have you ever been convicted of a crime?*
If "Yes," explain:
I consent to periodic background checks.I am legally able to work in the United States.
EMERGENCY CONTACT*

First NameLast Name
Relationship*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
My answers on all pages of this form are true and complete. I understand that any false statements on this form will result in removal from the Franklin Educational Services Tutor Referral List.
An Equal Opportunity Employer: It is the policy of Franklin Educational Services to recruit, hire, promote, transfer, compensate, and provide all other conditions of employment without regard to race, color, religion, national origin, age, sex, marital status, sexual orientation, physical or mental disability, or any other basis prohibited by law.
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Tutor Application