Tutor Information

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To be considered for a tutoring position with 100% Academic Achievement, please complete the following form in it's entirety:

If you prefer to fax or mail your application to us, please download and print the following form in PDF format: Tutor Application

Name:
Home Phone:
Cell:
Address 1:
Address 2:
City:
State:
Zip:
E-Mail Address:
Social Security #:
Lawson #: (if applicable)
Date of Birth:
Are you a US Citizen?	Yes No
If NO, please give residency status:
Have you ever been arrested? Yes No
If YES, please provide details:
Please provide us with your educational background:
Please provide information on any teaching or tutoring experience:
Do you speak any languages other than English? Yes No
If YES, which one(s)?:
Have you ever tutored for another company? Yes No
If YES, with which company?:
Briefly describe the top two or three qualities you possess that you feel would make you an excellent tutor:
What is your current occupation?:
Who is your current employer?:
Are you available to tutor during after school hours at school sites? Yes No
How many hours per week would you be available to tutor?
What areas of Hillsborough County would you be willing to work?
How did you hear about us?:
Please provide us with 2 references. Include any employer who could speak on behalf of your experience and work ethic. 1. Name: Phone #: Relationship to Applicant: 2. Name: Phone #: Relationship to Applicant: We would like to thank you for taking the time to complete the application for employment. By typing your name and checking the "I Agree" box below, you acknowledge that all the information provided is true and accurate to the best of your knowledge. Misrepresentation of any information provided will constitute grounds for immediate termination of employment.
Name: I Agree:

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