Academic Mentor Application
Name *
Your answer
Address Line 1 *
Your answer
City *
Your answer
Zip Code *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
How did you hear about this position? *
Your answer
Why are you interested in the Academic Mentor position? *
Your answer
Tell me about a relationship you have with a young person. *
Your answer
What is your tutoring/teaching experience? Be specific. *
Your answer
At GMS we work with diverse populations. Tell us about your interest in working with students of different racial/ethnic backgrounds, socio-economic classes, gendered identities and sexual orientations. *
Your answer
Education completed: *
Please list three references, other than family members. At least two must be professional references. Please include name, relationship, phone number (with area code), and email for each reference. *
Your answer
Are you willing to undergo a background check, in accordance with local law/regulations? *
How many hours a week do you desire? *
Your answer
Availability: on what days are you available to work in our After-School Tutoring program? *
Required
Which skills do you feel comfortable tutoring at the middle school (6th-8th grade) level (select all that apply)? *
Required
Are you bilingual or conversationally fluent in a language other than English? If so, what language? *
Your answer
Which educational needs do you feel comfortable supporting (select all that apply)?
Optional: What gender do you identify with?
Optional: What race do you identify with?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy