August 1, 2013 Damien Le Cauhoi Tutors’ application Tutor Application How did you hear about us?* Online ads Friends/family Newspaper Others If Others, please specifyName* Gender*MaleFemaleAddress* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Education*Name of SchoolMajorStateGPAGraduation Date Please list where you attended High School, College or Graduate Program.Do you have a Car for Transportation to Tutoring Sessions?*YesNoTravel willingness*5miles10miles15miles20milesSubject Matter Expert (select only 3)* Algebra 1&2 Geometry Precal/calculus Chemistry Physics English(reading/writing) Elementary/middle school Math SAT English SAT Math TJ prep Spanish Identify your level of confidence in teaching the subjects below. Please use the following definitions to determine your confidence level: 3- Confidence. I can teach this subject matter without any preparation. 2- I can teach this subject, but need to talk with the student before the tutoring session. 1- Somewhat Confident. I know the subject, but would need to refresh my skills before tutoring it. 0- No Confidence. I should not be teaching this subject.Confidence level: Algeba1/2*3210Confidence level:Geometry*3210Confidence level:Precal/Calculus*3210Confidence level:English(reading/writing)*3210Confidence level:General Chemistry*3210Confidence level:Physics*3210Confidence level: IB or AP Chemistry or Physics*3210Test Preparation(SAT/TJ)*3210Teaching Certificate?*YesNoIf yes, in what subject(s):Teaching experience:*I have no teaching experienceLess than a year1-2 yearsMore than 2 yearsMost of our tutoring occurs in the afternoon, evenings (from 5-8:30pm) and the weekends. Are you available to tutor during these times:*YesNoPlease Describe Prior Tutoring Experience (employer, job title, responsibility, duration, subjects etc...)*Have you ever been convicted of a felony or misdemeanor?*YesNoIf yes, when, where and for what crime?:*Do you agree to a background investigation including a criminal background investigation?*YesNoReferencesNameRelationshipEmailPhoneAddress List names of 3 people(excluding relatives) we may contact who have knowledge of your job-related skillsUpload College transcript (required)Accepted file types: pdf, doc, docx.Allowed file: pdf,doc,docx. If you don't have college transcript at this time, you can send to us at later time. College transcript is required before interview. Unofficial copy of transcript is fine. Resume and College transcript sent to: firstname.lastname@example.orgUpload ResumeAccepted file types: pdf, doc, docx.Allowed file: pdf,doc,docxAgreement* I have a valid Social Security number, I am authorized to work in the United States, and I am at least 18 years of age or older. By checking this box, I agree that all info entered was done accurately & truthfully This iframe contains the logic required to handle Ajax powered Gravity Forms.