Golden Diversity Academic Tutor Application
Please Answer All Fields Before Submitting
Email address *
Date *
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DD
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YYYY
Full Name (First, Middle Initial, Last) *
Your answer
Gender *
Address
Phone Number *
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Street *
Your answer
City *
Your answer
State *
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Zipcode *
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Birthday *
MM
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DD
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YYYY
What college and/or courses are you currently enrolled ? *
Your answer
Availability (check all that apply) *
If you are available for two of the time slots, select "all day' and explain in next question times available
Morning(8a-12p)
Afternoon(12p-4p)
Evening(4p-9p)
ALL DAY
Not Available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Availability Summary *
Explain Any Specific Scheduling Issues
Your answer
Tutoring Subjects *
Required
Why are you interested in working with Golden Diversity? *
Your answer
We value learning/improving ourselves & our service. How do you learn & improve yourself & skills? *
Your answer
What is your past tutoring & non-tutoring experience working with 6th-12th graders? *
Your answer
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