Copyright © Math Tutor Network. All rights reserved. Page | 1 TUTOR APPLICATION FORM (Victoria, BC) DATE: ________________________ PERSONAL INFORMATION Name First Middle Last Address Apt No. House No. Street City Province Postal Code Home Phone: Mobile Phone: Email: Google Drive Email: Salary Expectation: $ per hour Preferred # of work hours per week: Preferred Start Date: EDUCATION Post-Secondary School Name Degree / Faculty Major Minor Year GPA / Average Secondary School School Name Year Graduated
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Copyright © Math Tutor Network. All rights reserved. Page | 1
TUTOR APPLICATION FORM (Victoria, BC)
DATE: ________________________
PERSONAL INFORMATION
Name First Middle Last
Address Apt No. House No. Street City Province Postal Code
Home Phone: Mobile Phone:
Email: Google Drive Email:
Salary Expectation: $ per hour Preferred # of work hours per week:
Preferred Start Date:
EDUCATION
Post-Secondary
School Name Degree / Faculty Major Minor
Year GPA / Average
Secondary School
School Name Year Graduated
Copyright©MathTutorNetwork.Allrightsreserved. Page|2
LANGUAGES
Language: Fluency: 1 2 3 4 5Conversational Fluent
Language: Fluency: 1 2 3 4 5Conversational Fluent
AVAILABILITY
Pleaseindicatethetimeperiodsyouareavailablefortutoring.
TimePeriod(s)Available
! Monday
! Tuesday
! Wednesday
! Thursday
! Friday
! Saturday
! Sunday
AVAILABLELOCATIONS
Pleaseindicatethelocationsyouareabletotravelto.
! Malahat
! NorthSaanich/Sidney
! CentralSaanich
! SaanichWest
! SaanichEast
! OakBay
! Victoria/Esquimalt
! Highlands/ViewRoyal
! Colwood/Langford
! Metchosin
! Sooke
! Other______________________________
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TUTORING DETAILS
Transportation
Please select all modes of transportations that would work for you.
Access to own vehicle
Access to a shared family vehicle
Car sharing (e.g.: EVO, Modo)
Public transit
Bicycle
Tutoring Format
Please select all tutoring formats that would work for you.
At the student’s home
At a public location (e.g.: library, coffee shop)
Online
Equipment
What electronic equipment(s) do you have for tutoring?
Desktop Computer
Laptop (Non-touchscreen)
Touchscreen laptop
Tablet
Electronic writing pad (e.g.: Wacom)
External Mouse
COVID-19 Restrictions
Please indicate any restrictions or limitations you may have as a result of COVID-19.
Copyright © Math Tutor Network. All rights reserved. Page | 4
GRADE AND SUBJECT
Please indicate the subjects and grade levels you can tutor.
Subject Grade K – 7 Grade 8 – 10 Grade 11 – 12 College or University
English
ESL
Math
Calculus
Statistics
Science
Physics
Chemistry
Biology
Earth Science
Social Studies
History
Geography
Economics
French
Mandarin
Other (specify)
Other (specify)
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