Tutor Application Form

DECLARATION:

By completing the application form, you declare that the information contained therein and on your resumé is correct to the best of your knowledge and you understand that any omission or incorrect information is just cause for the rejection of your application for contract work as a tutor for The Learning Curve. You also authorize The Learning Curve to verify the information provided, and to obtain any other information relevant to this application.

IMPORTANT INSTRUCTIONS ABOUT THIS FORM:
Do NOT hit “Enter” or “Return” to move between fields; doing so will result in your sending an incomplete form. Instead, please use the “Tab” key or click each field separately.


Personal Information

Surname

First Name and Initials

Sex: MaleFemale
Mailing Address:


E-mail Address

Telephone Numbers:



May we contact you at work? YesNoN/A
For which region(s) are you applying to work?
Toronto
Durham
Ottawa

Background and Availability

1. Please indicate the subjects you are applying to tutor by checking the appropriate boxes. Beside each selection, indicate the grade range (between 1 and 12) in which you would be comfortable working. Where applicable, also include specific topic areas; for example, Physics as a branch of Science
Mathematics -
Science -
English -
International Languages (specify language(s)) -
Canadian and World Studies -
Social Sciences and Humanities -
Business Studies -
International Baccalaureate (list specific subjects) -
Standardized Test Prep (SAT, ACT, GMAT, LSAT, etc.) -
Organizational, Time Management and Study Skills -
Life Skills -
Language Skills (writing, reading comprehension) -
English as a Second Language (ESL) -
Special Needs -

2. When are you available to start tutoring?

3. How many tutoring hours are you looking for per week?

4. Please indicate when you are available for tutoring by checking the boxes beside the appropriate days of the week. To the right of each selection, indicate more specifically the times of day that work best for you; for example, late afternoon, from 10am to 2pm, anytime, etc.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

5. Are you eligible to work in Canada? YesNo

6. Have you ever been convicted of a criminal offence related to the position applied for and for which you have not been pardoned? YesNo

7. Are you in possession of a valid police reference check, conducted within the last 12 months? YesNo

8. Have you ever been the object of a dismissal, suspension or disciplinary action from a position similar to that for which you are applying? YesNo

Qualifications and Experience

1. Are you a certified teacher? YesNo
If so, for how many years?

2. Do you have any experience as a private tutor? YesNo
If so, for how many years?

3. Do you have access to a vehicle? YesNoSometimes

4. List any other experience (not directly related to private tutoring) that you have interacting with young children and/or youths.

5. List any achievements, such as scholarships, awards, team activities or community recognition.

6. List any relevent personal qualifications, degrees, diplomas, licences, related professional development, etc.

Language Skills

This information will be helpful in assessing your suitability in situations where specific language skills are an asset.
Please list below all of your written and spoken languages, then rate your level of fluency and comprehension on a scale of 1 (weak) to 7 (strong).
1. Spoken Written
2. Spoken Written
3. Spoken Written
4. Spoken Written

References

By providing the names below, you are authorizing The Learning Curve to contact any or all of them for the purpose of conducting reference checks. It is preferable that you include a combination of referees representing various backgrounds. For example,
1) parents of former students you have tutored;
2) past employers;
3) former teachers or professors.

Referee #1:



Referee #2:



Referee #3:



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