Become a Tutor

First Name:		Last Name:
Address:
Address Line 2:
City:		Zip Code:
Home Phone:		Cell Phone:
Work Phone:		Email:

What counties are you able to travel to?
Please name specific cities in counties chosen above that you are willing to tutor in if you are not able to travel throughout the entire county:

Please check the following subject areas in which you feel comfortable tutoring:

Elementary
    Math
    Reading
    Spelling
    Other: Please Describe

Middle School
  Math
    Basic Math
    Pre-Algebra
    Algebra
  Science
    Physical Science
    Life Science
  Social Studies
    Social Studies/History
    Civics/Government
  English
    English
    Reading and Comprehension
  Other: Please Describe

High School
  Math
    Basic Math
    Algebra I
    Geometry
    Algebra II
    Pre-Calculus
    Trigonometry
    Calculus
    Statistics
  Science
    General Science
    Anatomy/Physiology
    Biology
    Chemistry
    Environmental Science
    Physics
  Social Studies
    World History
    American History
    Civics/Government
    Economics
  English
    Reading Comprehension
    English Composition
    English Grammar
    Literature
    Advanced English
    Other: Please Describe

ForeignLanguages
    French 1
    French 2
    French 3
    French 4
    German 1
    German 2
    German 3
    German 4
    Spanish 1
    Spanish 2
    Spanish 3
    Spanish 4
    Other: Please Describe

Test Prep
    ACT English and Reading
    ACT Math
    ACT Science and Reasoning
    GED
    SAT Math
    SAT Verbal
    State Achievement Tests
    Other: Please Describe

Other
English as a Second Language (ESL)
Other: Please Describe

How did you hear about AES In Home Tutoring?

Are you a certified teacher?	Yes	No
Where have you taught in the past (name specific schools)?
How long have you been a teacher?	years
Are you a four year college graduate?	Yes	No
In what field is your bachelor degree?
List any graduate degrees you hold:
Do you have assessment testing experience?	Yes	No
Are you, or have you ever been, a reading specialist?	Yes	No
Are you, or have you ever been, a Guidance Counselor?	Yes	No
Do you have an ESL certification?	Yes	No