| Teacher-Tutor Application |
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| First Name: * |
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| Last Name: * |
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| Address Street 1: * |
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| City: * |
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| Zip Code: * |
(5 digits) |
| State: * |
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| Home Phone: * |
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| Cell Phone: * |
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| Email: * |
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| In what school district do you live?: * |
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| Have you ever done in-home tutoring one-on-one?: * |
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| Do you currently have or have you had a teaching license in Virginia or North Carolina?: * |
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What are your academic credentials or
awards? Please list: * |
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| Please list your specialized or your endorsement area(s) of teaching and at what grade level? * |
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| SKILLS (check all that apply) |
Study Skills
Organizational Skills
SAT Prep (English)
SAT Prep (Math)
College Essay Prep
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