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 MathPre-AlgebraAlgebra IAlgebra IIGeometryTrigonometryMath AnalysisPre CalculusCalculus ICalculus IIStatisticsBiologyAP BiologyMicrobiologyPhysiologyPhysicsChemistry - inorganicChemistry - organicChineseTest PrepACTPSATSATCAHSEEISEEHSPTEnglish - middleEnglish high SchoolAP EnglishWritingUS HistoryEuropean HistoryWorld HistoryArt historyEconomicsGovernmentESLChineseFrenchGermanHebrewJapaneseLatinSpanishSign LanguageStudy StrategiesOrganizational Skills

    Grade levels you are qualified to tutor (required)
    K-56-89-12College

    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)
    YesNo

    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?
    YesNo

    How often do you check your email?

    Are you willing to drive up to 20 minutes for tutoring assignments?
    YesNo

    How long will you reside at your current address?

    If you move will you stay in the same city?
    YesNo

    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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