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Tutor Application Form (Serving Position)
Purpose: Provide free tutoring for students through online learning during the COVID-19 Stay Home Period
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Email *
Name (last, first) *
Age *
If you are under 18, you must have your parents sign this form!
Street Address *
City *
State *
Zip Code *
Telephone *
Email *
What is your highest form of education? *
Which subjects are you interested in? (Check all that apply) *
Required
How many hours a week would you like to volunteer? *
Days available (Check all that apply) *
Required
Hours available (Check all that apply) *
Required
Would you like to use the hours for community service? *
Applicant's Electronic Signature Consent *
Parents' Electronic Signature and contact number
Only for applicant who is under 18 year old, needs parents' signature here!
Signature Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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