Tutor Application Tutor ApplicationApplicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job-related medical condition or handicap.
NAME ________________________________________________ DATE__________
ADDRESS ________________________________________
CITY , CA ZIP ________________________________________
PHONE: Home _____________ Mobile _____________ Other ______________
Email address: ___________________________________________________
Best day/time to call you: ________________ Latest time to call:
___________
YOUR HIGH SCHOOL (town) ______________________________________
COLLEGE: ________________________________ Year of Graduation______________
Major: ___________________________________________ Degree Earned
___________
Languages Spoken: _______________________________________________________
Relevant Work Experience: ___________________________________________________
_________________________________________________________________________
HOBBIES and OTHER ACTIVITIES (teen years to present) ________________________
_________________________________________________________________________
Have you ever been convicted of a felony? ________
What subjects/levels do you feel comfortable tutoring? (Circle
all that apply)
| Elementary | Middle/ Junior High |
High School | College/Adult | Test Preparation |
|
Reading/writing
|
Reading/writing Pre-algebra Algebra Geometry Science Study skills Organization skills Test taking skills Other: ________ ________ ________
|
Reading/writing History Algebra Foreign lang: ________ Trigonometry Biology Chemistry Physics Geometry Study skills Other: ________ ________ ________ |
Calculus Accounting Economics Foreign lang: ________ Statistics History Editing ESL Test preparation Other: ________ ________ ________ |
SAT
|
What areas are you willing to travel to for assignments? (Circle all that apply)
| West S.F. Valley | East S.F. Valley | West LA, Santa Monica, Malibu, Culver City | Santa Clarita, Valencia Newhall | Burbank, Glendale, Pasadena | Other: __________ __________ __________ |
How did you hear about totally tutored? _____________________________________________
REFERENCES and EMPLOYMENT HISTORY
Please list 1 - 2 personal references (friends, clergy, or professors)
Name ______________________________________________________
Address ____________________________________________________
Phone (____) _________________ May we contact this reference?
_______
Name ______________________________________________________
Address ____________________________________________________
Phone (____) _________________ May we contact this reference?
_______
Please list last 1 - 2 employment references (supervisors or professors)
Name ______________________________________________________
Address ____________________________________________________
Phone (____) _________________ May we contact this reference?
_______
Name ______________________________________________________
Address ____________________________________________________
Phone (____) _________________ May we contact this reference?
_______
OTHER INFORMATION
Make of Car _____________ Insurance Company ______________
Policy Number __________________________________________
Soc Sec # _____________________________________________
Drivers License # _______________________ Expires __________