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Tutor Application (copy - August 17, 2010)

Page One

Thanks for your interest in our company. Please fill out the form as completely as possible. If we think your qualifications match an open position, we will contact you.

Please note: All engagements with our company are on an independent contractor (1099) basis.
1. Contact Information
2. What is the highest level of education you have completed?
3. List any degrees or certificates you have.
Space Cell YearSchoolDegree & Major
1. *This question is required
5. Are you certified? *This question is required.
7. Are you presently employed? *This question is required.

Tutoring experience and qualifications

10. Formal tutoring experience
Space Cell WhereLength of timeSubjects tutored# Students
11. Grade levels qualified to tutor:
12. English:
13. Math
14. Sciences
15. Social Sciences
16. Foreign Languages:
Space Cell Level ILevel IILevel III+
17. Test Prep:
18. Special Education:
19. Miscellaneous:
20. Computer Skills:

Logistics and Communications

21. Do you have materials to tutor with?
22. Are you willing to tutor groups/homework help? *This question is required.
23. Do you have access to a computer and internet? *This question is required.
24. How often do you check your email? *This question is required.
Few times a dayOnce A DayEvery other dayOnce a weekLess than once a week
25. Do you receive email on your mobile phone? *This question is required.
26. Do you use text messaging (SMS) on your mobile phone? *This question is required.
27. Do you have regular access to a fax machine or scanner?
(this is required so you can fax or email various documents) *This question is required.
28. Locations you can tutor in - YOU MUST LIVE WITHIN 15 MILES from the city:
(Check all that apply) *This question is required.
29. How long are you planning to tutor? *This question is required.
30. When can you start? *This question is required.
31. Your  Availability:
Space Cell MonTueWedThuFriSatSun
32. Have you ever been convicted? *This question is required.
33. Can we do a background check on you? *This question is required.

Resume and References

34. Please provide Four (4) references:
(Must be Tutoring related. We will only contact them with your permission) *This question is required.
Space Cell NamePhone #EmailTutoring provided
1. *This question is required
Once you click on the 'Submit' button below, you will receive an email from us requesting your Resume. Please reply to our email and attach your Word resume to it. If you do not see our email in your inbox please check your SPAM folder.

Please also ensure our email address is added to your SAFE senders list so that our emails do not go to your SPAM folder in the future.

Thank you,

ClubZ! Tutoring of OC