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

Degree(s) Attained

University Attended

Did you graduate?

If you have not yet graduated, are you still attending school?

Year Completed

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

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 3

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)

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