| Name: Email: |
| Cell Phone Number: Other Phone Number: |
| Address: |
City: State: Zip Code:
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Level of tutoring are you requesting to volunteer for:
Grades K-6
East Shore High School
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How do you prefer to be contacted?
Phone
Email
Both
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Availability
Please mark the day(s) and time(s) you will be available: (Please check all that apply to which you can commit on any given day)
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Regarding the above schedule:
How long can you commit to above hours per day? i.e. for the semester, for what number of weeks, etc?)
How many hours do you prefer to work? (Understand that we cannot guarantee hours)
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Are you willing to accept orientation, training, and direct supervision from teachers, principal(s), and others involved in the program administration for East Shore High School? Yes (please initial)
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What High School subjects do you feel most comfortable tutoring? (select all that apply)
ELementary Core:
Math
Language Arts/Reading
Social Studies
Science
Math:
Algebra
Algebra II
Geometry
Trigonometry
Pre-Calculus
Calculus
Science:
Physical Science
Biology
Physics
Chemistry
Anatomy
Physiology
English:
Writing
Literature
Grammar
English
Social Science:
U.S. History
World History
Geography
Psychology
Sociology
Other:
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Work Experience
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Volunteer Experience
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Emergency Notification:
Name:
Phone Number:
Address:
City:
State:
Zip Code:
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References:
Please list the name and phone number of one or more references.
Name
Phone:
Address:
City:
State:
Zip Code:
Name
Phone:
Address:
City:
State:
Zip Code:
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