Honor Roll Tutors | Online Questionnaire

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Your Contact Information
First Name:*
Last Name:*
Gender:*
Email Address:*
Verify Email:*

Address:*
City:*
State:*
Zipcode:*
Phone Number(s):*
How did you hear about a job opportunity with Honor Roll?*

Your Qualifications

Are you a certified teacher?* Yes No Expired

What type of certification do you have?

Has your teaching license ever been suspended or revoked?* Yes No

If yes, please explain:

Have you ever been convicted of a crime (felony or misdemeanor)?* Yes No

If yes, please explain:

Please list grade levels in which you would feel confident tutoring?

Please describe your prior teaching/tutoring experience:

Academic Background

	School Name	Degree	Field of Study	Graduation Year
First School*
Second School
Third School
Fourth School

Please tell us more about your experience and background in the "Additional Comments" section and/or email your resume to info@honorrolltutoring.com

Additional Comments:

Tutor Subjects

In the following section, select the general subjects you wish to tutor. This will then bring up a more detailed list for some of the selections to help us refine your area of expertise.

Computer Training	English	Foreign Language
General Subjects	Special Education	Math
Science	Standardized Test Preparation	Other(specify in comments)

Computer Training

Adobe Acrobat	Adobe Illustrator	Adobe Photoshop
Brochure/Flyer Design	Computer Basics	Internet
Mac	Macromedia Director	Macromedia Dreamweaver
Macromedia Flash	Microsoft Access	Microsoft Excel
Microsoft Windows	Microsoft Word	PC
QuarkXPress	QuickBooks	Troubleshooting
Website Design	Other(specify in comments)

English

Reading	Writing Skills	Literature
Grammar	Spelling	Vocabulary
Speed Reading	Other(specify in comments)

Foreign Language

ESL (English as a Second Language)	French	German
Italian	Spanish	Other(specify in comments)
Latin

Special Education

ADD	ADHD	Dyslexia
Dyscalculia	Speech Therapy	Autism/Asperger
Other(specify in comments)

Math

Arithmetic	Algebra	Trig/Pre-Calculas
Calculus	Geometry	Other(specify in comments)

General Subjects

History	Study Skills	Time Management
Test Taking Strategies	Gifted and Talented	Other(specify in comments)
Geography

Science

Chemistry	Physics	Biology
Earth/Space	General	Other(specify in comments)

Standardized Test Preparation

SAT (Math)	SAT (Verbal)	ACT
GED	GRE	Other(specify in comments)

Additional Comments:

Your Availability

Are you usually available:

Weekends?*

Yes No Not Sure

Weekday Afternoon & Evenings?*

Yes No Not Sure

Weekday Mornings?*

Yes No Not Sure

Additional notes about times you are/are not available to tutor:

On average, how many hours per week are you interested in tutoring?*

Do you have reliable transportation?* Yes No

We would like to know in what areas you would be available to tutor. Please select all regions in the list below where you would be willing to meet with students regularly over periods of several weeks.

We do our best to match tutors with clusters of students in their chosen geographic areas. We strongly encourage tutors to consider working with students in multiple regions. Choosing a region on this page does not mean that you are required to accept every student offered. It simply helps us make more informed decisions about balancing our client demand and our staffing needs.

Please check all the areas where you would be able to tutor:*

Waukesha County:

Big Bend	Brookfield	Butler
Chenequa	Delafield	Dousman
Eagle	Elm Grove	Genesee/ Genesee Depot
Hartland	Lannon	Mapleton
Menomonee Falls	Merton	Mukwonago
Muskego	Nashotah	New Berlin
Northlake	North Prairie	Oconomowoc
Pewaukee	Sussex	Wales
Waukesha	Vernon

Although we currently provide services in Waukesha County, we are planning to expand our service area in the near future. Even if you cannot travel to Waukesha County, please indicate other areas of interest in Southeastern Wisconsin and we will contact you in the future if the need arises.

Additional regions you are interested to tutor in:


Please note: During the interview process you will need to provide us with the following paperwork: a copy of your driver's license academic transcripts teaching license (if applicable) contact information for 3 professional references
I certify that the above information is accurate and true by entering my full legal name in the box below.*