Please fill out the form below, or click on link to open PDF file: Suzi Feldman Tutor Application pdf
Your Name (required)
Street Address (required)
City (required)
State (required)
Zip Code (required)
Number of Years at Above Address (required)
Previous Street Address (required)
Previous City (required)
Previous State (required)
Previous Zip Code (required)
Your Email (required)
Cell Phone
Home Phone
Work Phone
Subjects you are qualified to tutor (required) Basic Math Pre-Algebra Algebra I Algebra II Geometry Trigonometry Math Analysis Pre Calculus Calculus I Calculus II Statistics Biology AP Biology Microbiology Physiology Physics Chemistry - inorganic Chemistry - organic Chinese Test Prep ACT PSAT SAT CAHSEE ISEE HSPT English - middle English high School AP English Writing US History European History World History Art history Economics Government ESL Chinese French German Hebrew Japanese Latin Spanish Sign Language Study Strategies Organizational Skills
Grade levels you are qualified to tutor (required) K-5 6-8 9-12 College
Other subjects you can tutor?
Experience with learning disabilities? What kinds?
Years tutoring? (required)
Years teaching? (required)
Do you have a State Teaching Credential or Teaching License? (i.e. EC-6 Generalist, Secondary Mathematics) Yes No
If yes, what type?
Education
School Attended
Days available
Please provide an overview of your previous teaching or tutoring experience. (required)
What other skills or experiences do you feel would qualify you for employment with Specialized Learning? (required)
Why do you want to work for Specialized Learning? (required)
How many hours per week can you tutor? (required)
Do you have your own car? Yes No
How often do you check your email?
Are you willing to drive up to 20 minutes for tutoring assignments? Yes No
How long will you reside at your current address?
If you move will you stay in the same city? Yes No
Do you have a valid driver's license?
Do you have a criminal record?
Are you able at the time of employment to submit verification of your legal right to work in the U.S.?
Undergraduate Education
Degree(s) Attained
University Attended
Did you graduate?
If you have not yet graduated, are you still attending school?
Year Completed
Postgraduate Education
Job History (most recent first)
Employer's Name
Employer's Street
Employer's City
Employer's State
Title/Duties
Employment Dates (start to end
Reason for leaving
Name of Supervisor
Supervisor's Email
Supervisor's Phone
May we contact him or her (yes/no)
Job 2
Job 3
1+1=?
“The most apparent change has been the time it takes for her to do homework. It now takes about half the time it took before.”
“He is more attentive and able to remember things better. Now he is “getting it” when he does his homework.”
“Her reading and math scores have improved but more importantly her self confidence has improved.”