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Tutor Application Form

All fields marked with an asterisk(*) must be filled in.
Before completing the form, please be sure that you have the necessary academic qualifications - ( see Tutors Page ).

Title:

Forenames:

Surname:

Maiden name (if applicable):

Street Address:

Village or district of town:

Post Town :

Post Code :

Phone:

Email:

Tuition Details

In the following table, please indicate the highest level at which you are prepared to teach any of the subjects listed.
[N.B. Tutors in Scotland should replace G.C.S.E. by the Scottish Certificate of Education Ordinary Grade and 'A' level by the Higher Grade or by the Certificate of Sixth Year Studies.]

	Primary level (Key Stages 1 & 2)	Lower secondary (Key Stage 3)	G.C.S.E.	A Level and AS Level
Biology	N/A
Chemistry	N/A
English	N/A
French	N/A
German	N/A
General science	N/A
Geography	N/A
History	N/A
Computer studies	N/A
Maths	N/A
Physics	N/A
Basic skills (Maths & English)	N/A		N/A	N/A
Basic skills (Maths & English)		N/A	N/A	N/A
Maths		N/A	N/A	N/A
English and Reading		N/A	N/A	N/A
	Primary level	Lower Secondary	G.C.S.E.	A Level

I am prepared to give tuition at:

Pupil's home

Tutor's home

either home

Please indicate the number of hours per week you can devote to tuition during term time:
After 4 p.m. weekdays and weekends:	hours	At other times:	hours
Which Search Words did you use to find our site?

Employment & Qualifications:

Present Position:

D.F.E. Registration
Number(if any):

Date of Birth :

Nationality:

How did you
first hear about
Personal Tutors?
(please be specific)

Academic Qualifications
(e.g. Teacher's
Certificate. Degree.
H.N.D., H.N.C. etc):

Please supply documentary evidence in the form of photocopies (not originals) of your academic qualifications. Failure to supply such documentation may result in a delay in processing your application. If applying online, please indicate which of your referees (see below) can confirm your qualifications.

References

	Referee 1	Referee 2
Name and Address including Postcode
Occupation
Relationship to you

Guidance on how to fill in information about Referees
Names and addresses of referees and their relationship to you (e.g. former employer, head of department, college tutor etc.)
Friends may be used provided they are in a position of standing, e.g. Doctors, Accountants, Solicitors, Teachers, Church Ministers etc.. Relatives, or persons living at the same address as you, are not acceptable as referees.
As we contact referees by post in the first instance, it is essential that you supply a complete name and address for each one. Both referees must have UK postal addresses.

Employment Record:

Starting with your most recent position, please give a brief employment record covering the past ten years:

Year	Employment

*Tutor Profile :

See example profiles here (opens in new browser window)...
Please provide a summary of your main qualifications, teaching/tutoring experience and your approach to tuition, as this is seen by potential students before they ask us to supply them with your contact details. If it is not obvious from your qualifications, try to mention anything which supports your ability and suitability to give tuition in all of the subjects you are offering. Also, mention any previous success with, and/or testimonials from, pupils. It is best to only include details which are strictly relevant to the subjects that we offer. Please do not waste valuable space by copying chunks of text originally devised for another purpose and keep in mind the maximum number of 650 characters and spaces allowed (if you exceed this limit, your profile will not display properly on our website). Please take time and care whilst compiling this self-advertisement, as it is by far the most important factor influencing pupils in their selection of a tutor.
(Personal Tutors retain the right to abridge or amend profiles to conform with Company policy.)

Maximum of 650 characters allowed.
Characters remaining

Criminal Prosecutions:

Details of any criminal prosecutions* (if none, state "NONE"):
Has your suitability for working with children* ever been considered by the secretary of State for Education ?
*This work involves substantial opportunity for access to children and is therefore exempt from the Rehabilitation of Offenders Act 1974. You are therefore required to declare any convictions, cautions or bindovers you may have even if they are otherwise considered spent by this Act. (if none, state "NONE"):
*Do you already have an Enhanced Certificate of Disclosure from the CRB, and will you send it to us when we ask for it? We will send it back by return of post.	Yes	No
If not, do you give permission* for such a CRB check to be carried out? If you do not answer "yes" your application will not be processed.	Yes	No

Declarations:

*I declare that the information given above is true and complete. I understand that the obligation to collect and forward the agency commission at the stipulated time is a contractual agreement between myself and the agency and failure to comply with this obligation will lead to me being removed from the active list and no further leads will be provided.
Signed (if submitting this form online, please TYPE* your full name into the box)
*Date:

Submit Form:

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Alternatively print out the form and return it with the requested documentation by post or by fax to:
Personal Tutors, Ashfield House, Cheadle, Cheshire SK8 1BB
Fax: (0161) 491 5552

All tutors are self-employed and are responsible for any tax and national insurance which may be due.

Whilst we make every effort to supply registered tutors with as many introductions as possible, unfortunately we will be unable to continue to do so if the number of lessons ensuing is significantly lower than the average and consequently not viable for the agency.

It is a criminal offence to supply, or offer to supply, private tuition to a person under 17 years of age without having an Enhanced CRB Disclosure.

Personal Tutors
Ashfield House, Cheadle, Cheshire SK8 1BB
Tel: 0161 428 2285 (24 hours)
Fax: 0161 491 5552
E-mail: