Application to Tutor NAME LAST NAME ADDRESS EMAIL ADDRESS EMAIL ADDRESS EMAIL ADDRESS CONFIRM PHONE MORE INFO EDUCATIONAL BACKGROUND Yes No EDUCATIONAL BACKGROUND WHERE HAVE YOU PREVIOUSLY TUTORED? Yes No HAVE YOU PREVIOUSLY TUTORED? WHERE EMPLOYED? Yes No EMPLOYED? WHERE HOBBIES & INTERESTS HOW DID YOU HEAR OF US TIMES AVAILABLE MONDAY MONDAY TIME TUESDAY TUESDAY TIME WEDNESDAY WEDNESDAY TIME THURSDAY THURSDAY TIME FRIDAY FRIDAY TIME SATURDAY SATURDAY TIME SUNDAY SUNDAY TIME WHEN CAN YOU START? TYPE OF LEARNER PREFERRED: TYPE OF LEARNER PREFERRED CHECKS 1 MALE FEMALE LITERACY: BEGINNER INTERMEDIATE ADVANCED MATH COMPUTER ESL DOES NOT MATTER TYPE OF LEARNER PREFERRED OTHER WHAT PROFESSIONAL DEVELOPMENT OPPORTUNITIES ARE YOU INTERESTED IN? TUTOR TRAINING: TUTOR TRAINING: INTRODUCTORY INTERMEDIATE ADVANCED HOW TO TEACH: HOW TO TEACH: WRITING READING MATH ESL HOW TO PLAN INTERESTING LESSONS HOW TO ASSESS A LEARNER HOW TO THEACH OTHER TEXT SEND