Employment Application

Discountutor.com

Please complete and submit this application. 

You will also be required to submit a resume and teaching certificate prior to employment.

Please provide the following information:

First Name
Last Name
Middle Initial
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Tutoring Subjects:

Elementary
Middle School
High School
College Students
English
Math
Other

Location of Tutoring Preferred:


Times Available to Work:


Enter your Educational Background Below: Name of college, Major, No of Credits, Date and Degree


Enter your Educational Background: Name of college, Major, No of Credits, Date and Degree


Tutoring/Teaching Experience 1


Tutoring/Teaching Experience 2


Current Employment:


Please enter your references below

First Name
Last Name
Middle Initial
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Please enter your references below

First Name
Last Name
Middle Initial
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Have you even been fired from a job involving children?

Yes No

Have you ever been indicted or convicted of an offense involving minors?

Yes No

I certify that the aforementioned information is true to the best of my knowledge and belief.

Yes No
Bill Davis Discountutor.com
Copyright © 2004 Discountutor.com  All rights reserved.
Revised: 09/28/04