Upload
others
View
2
Download
0
Embed Size (px)
Citation preview
1
Student Tutoring Job Application
Applicant Information
Full Name: Date: Last First M.I.
Address: Street Address Apartment/Unit #
City State ZIP Code
Home Phone: Email:
Parent Phone: Mobile Phone:
Preferred Tutoring Subject:
When are you available to tutor?
Have you had any disciplinary issues while in high school? YES NO
If yes, please explain:
Are you bilingual? YES NO
If yes, please list languages other than English, and indicate your speaking, reading and writing skill for each:
Are you interested in tutoring in another language? YES NO
If yes, what language:
Previous Employment or Volunteer Experience
Company: Phone:
Address: Supervisor:
Job Title: Hourly Rate: $
Responsibilities:
From: To: Reason for Leaving:
Tues Weds Thurs 2pm – 3pm 3pm – 4pm
2
May we contact your previous supervisor for a reference? YES NO
Company: Phone:
Address: Supervisor:
Job Title: Hourly Rate: $
Responsibilities:
From: To: Reason for Leaving:
May we contact your previous supervisor for a reference? YES NO
Company: Phone:
Address: Supervisor:
Job Title: Hourly Rate: $
Responsibilities:
From: To: Reason for Leaving:
May we contact your previous supervisor for a reference? YES NO
Disclaimer and Signature I understand and agree that any false statements by me on this application will be sufficient cause for withdrawal of this application and/or separation from the Student Tutoring service if I have been employed.
I hereby certify that
• all information given by me on this application is true and complete to the best of my knowledge
• all questions relating to me have been accurately and fully answered
• I possess all the qualifications which I claim to hold
Signature: Date: