Tutor Application
If you would like to apply to be a VITAL tutor, please fill in each field below and click the submit button. Please note that this form is intended for people applying to be tutors.

The following will be reviewed by the VITAL Program Coordinator:
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Email *
First Name *
Last Name *
Date of Birth *
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Lawrence ID *
SPC # *
Race/Ethnicity**
**The VITAL Program asks tutors for their racial/ethnic identity, foreign language fluency, and their gender identity to accommodate the requests of the tutee's family. This is a part of our effort to best match students together. You are not obligated to answer any of those questions.
Please list any languages you are fluent in other than English.**
**The VITAL Program asks tutors for their racial/ethnic identity, foreign language fluency, and their gender identity to accommodate the requests of the tutee's family. This is a part of our effort to best match students together. You are not obligated to answer any of those questions.
Gender Identity**
**The VITAL Program asks tutors for their racial/ethnic identity, foreign language fluency, and their gender identity to accommodate the requests of the tutee's family. This is a part of our effort to best match students together. You are not obligated to answer any of those questions.
Year at Lawrence *
Grade Range Preference *
Select as many as you wish.
Required
Subject Preference *
Select as many as you wish. Note: We are no longer offering tutoring in high school math.
Required
Best day(s) for tutoring *
Note: Tutors are excused from tutoring over scheduled Lawrence breaks and testing weeks.
Required
Best time(s) for tutoring *
Special Requests/Additional Information
The VITAL Program is currently operating remotely — meaning that tutoring sessions will be conducted online. Considering the remote format of the VITAL Program, do you have access to a device that can connect to the internet for your sessions, a space to conduct your tutoring without distraction, and reliable access to Wi-Fi? *
Are you able to tutor a subject in a foreign language? (e.g. teach history in Spanish) *
If so, what language and what subject would you be able to tutor?
Have you previously been a VITAL Tutor? *
Previous Tutee's Name and Subject
Have you ever been accused of any abuse or harmful action toward children? *
I fully commit to following the next steps of the VITAL program that will ensure that all of our tutees are having the most productive and academically effective sessions as possible. *
Your initial below indicates that all the information you have provided is accurate. The LU Center for Community Engagement and Social Change will be sending you a criminal background check to fill out and return, which is required to participate in the VITAL Program. *
Signature *
Typing your name in this box acts as an electronic signature.
Today's Date *
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