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Tutor Preferences Survey
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Full Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Email Address
*
Your answer
Phone Number
Your answer
Address
Your answer
How did you find out about us?
Facebook job post
Craigslist
Reference
Google search
Indeed
Describe your experiences with special need students
Your answer
Describe your educational philosophy
Your answer
Relevant work or volunteer experience
Your answer
What do your students say about you?
Your answer
What do the families say about you?
Your answer
Location Preferences
Client Home
Public Space
Age/Grade Preferences
Age 3-4
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Ninth
Tenth
Eleventh
Twelfth
College
Grad School
Adult Learners
Subject Preferences
Phonics
Reading
Math
Science
Social Studies
Chemistry
Biology
Physics
Earth Science
Engineering
Coding
Technology
Algebra I
Algebra II
Geometry
Trigonometry
AP
College Prep
Other:
Subject Comments
Your answer
Which Exceptional Learners Can You Work With
ADHD
Anxiety
Asperger's
High Functioning Autism
Nonverbal Autism
Mood Disorders
Medically Fragile
Oppositional Defiant Disorder
Other:
Exceptional Learner Comments
Your answer
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