ABC Appletree serving students in Florida and North Carolina.






Application for Employment

Name:
School:
Grade:
Home Address:
City:
State:
Zip:
County:
Home Phone:
Cell:
Home Email:
School Email:
Education and Current Certification
College:
Major:
Highest Degree Held:
AA /Equivalent
BS / BA
MS / MA
Specialist
PhD
Specialist Degrees / Endorsements Reading
ESOL
ESE
SLD
Other
Do you currently have a
valid teaching certificate?
Yes
No		 Professional
Temporary 		State Certificate was Issued:
Would you be willing to do in-home tutoring? Yes  No
References
Name
Title
Phone Number
Have you ever been convicted of a felony? Yes
No
If Yes, Please explain:
What qualities do you have that would make you a good tutor?