* Position applying for: -- Please select -- Associate
* Salutation: -- Please select -- Mr. Mrs. Ms. Dr.
* First Name:
* Last Name:
* Address:
* City:
* County:
* State:
* Zip Code:
Please provide a personal e-mail account only.
* E-mail:
* Home Phone:
Cell Phone:
* Do you have direct access to the Internet?:
* Cool Kids Learn requires all associates to pass
Please provide us with some background information about yourself:
* What is your highest level of education attained?:
* What language(s) are you proficient in?:
* Are you a state certified school teacher?:
Please list school site for the 2010-11 school year:
If you have tutored with Cool Kids Learn for the 2009-10 school year please list the site you tutored at:
* Do you have any other tutoring experience?:
* In which county are you interested in tutoring?: -- Please select -- Fresno United, CA San Francisco, CA Bay, FL Broward, FL Collier, FL Duval, FL Miami-Dade, FL Osceola, FL Palm Beach, FL Polk, FL Atlata PS, GA Chatham, GA Glynn, GA Fulton, GA Indianapolis, IN Jefferson, KY Baltimore City, MD Prince George's City, MD Detroit City, MI Kansas City, MO St Louis, MO Charlotte-Mecklenburg, NC Durham, NC Gaston,NC Guilford, NC Winston-Salem/Forsyth, NC Albuquerque, NM Santa Fe, NM Las Cruces, NM Gadsden, NM Clark, NV Memphis, TN Nashville – Davidson, TN Austin ISD, TX Dallas, TX Fort Worth, TX Richmond, VA
* Please indicate the days you would be available to tutor
* I am interested in the following types of tutoring:
Please tell us how you heard about Cool Kids Learn, Inc: -- Please select -- Newspaper Ad College Board Flyer Search Engine Church Friend (word-of-mouth) School District SES Provider Fair Other
* I attest that all information provided above is truthful (type first & last name):
