About You

Full Name *

First Name
Middle Name
Last Name

Address *

Street Address

Street Address Line 2

City
State
Postal Code

Country —Please choose an option—United StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNagorno-KarabakhNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandTurkish Republic of Northern CyprusNorthern MarianaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRepublic of the CongoRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSouth SudanSpainSri LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTransnistria PridnestrovieTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsIsle of ManUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther

E-mail *

Home Phone Number *

Cell Phone Number *

Gender * MaleFemale

Date of Birth *

Nationality

Job reference No.
Only if applicable

How did you hear about us?
—Please choose an option—AgencyDirect approachGoogleFriend/ReferralJob CentreNewspaper/MagazineUniversity websiteTear off formTutor Doctor UK websiteTutor Doctor world websiteTutor Doctor local websiteOther

When can you start working for us
—Please choose an option—Immediately1 week2 weeks3 weeks1 monthlonger than one month

Your Skills

What skills do you bring to Smart Learning Families Corp?

Please enter the age groups you are able to tutor.
Pre-SchoolPrimarySecondaryCollegeUniversityAdult

If you have tutored before, tell us about it here.

Please list the subjects and levels you can teach, these are those you would be expected to teach.

Subject No 1
Subject No 2

Subject No 3
Subject No 4

Subject No 5
Subject No 6

Subject No 7
Subject No 8

Your Education

Do you have A levels?
YesNo
Please state which

Do you have A Diploma?
YesNo
Please state which

Do you have A Degree?
YesNo
Please state which

Do you have A Teacher Qualification?
YesNo
Please state which

Are you working towards a Teaching Qualification?
YesNo
Please state which

Do you have any other qualifications?

Eligibility

Do you have a current CRB/
YesNo

Date Obtained

Organisation who provided

If not do you agree to supply a CRB check?
YesNo

Confirm you are eligible to work in the US
YesNo

Do you have a criminal prosecution pending?
YesNo

If yes please tell us about it here.

Flexibility

Please tell us where and when you can work.

How far would you travel to tutor?
1 mile5 miles10 miles15 miles20 miles25 miles30 miles40 miles50 miles

Do you have a driving license?
YesNo

Do you have access to a vehicle?
YesNo

Which days are you able to tutor?
MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Which times are you available.
MorningsAfternoonsEvenings

Are you currently employed?
YesNo

Are you in full time education?
YesNo

Are you eligible to work in the US *
YesNo

Advanced Skills

Please tell us of any special skills you may have.

Have you worked with children with physical disabilities?
YesNo

Please tell us more

Have you experience of mental disorders e.g.ADHD?
YesNo

Please tell us more

Getting to know you.

Please tell us a little more about yourself, what motivates you, your passions and plans.

We aim to provide a great match between the tutor and the student. This enhances the learning experience and adds real value to the student and the tutor. To help us make this match give us some idea of your interests, hobbies etc.

References

Please provide the names of two organisations or professionals we can use as references. (These cannot be family or friends)

First referee

Full Name *

First Name
Middle Name
Last Name

E-mail *

Phone Number *

Profession/Relationship

Second referee

Full Name *

First Name
Middle Name
Last Name

E-mail *

Phone Number *

Profession/Relationship

Form Submission

Upload your CV

Upload your Picture[file picture limit:5000000 filetypes:jpg,png,gif,bmp]

Upload your CRB

Do you know anyone else that would be a great tutor for Smart Learning Families Corp?
YesNo