K&M Center Application

Employment Application
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State

Zip Code
E-mail Address *
Phone Number

STD Code Phone Number
Mobile *
Preferred Pronoun
Birth Date

Month Day Year
How did you hear about us?
If referred by current employee, please list
Your Skills
What age groups do you have experience working with in a one on one or classroom setting?
If you have previous tutoring or remediation experience, please explain here
Subject areas you have experience with

English/Language Arts Math Science Executive Functioning
Please list the subjects and levels you can teach, these are those you would be expected to teach.
Math: Level of expertise
English Language Arts: Level of Expertise
Science: Level of Expertise
Other Subjects
Your Education
Please list Colleges/Universities attended and Degrees earned Below
Do you have A Teacher Qualification?

Yes No
Please state which
Are you working towards a Teaching Qualification?

Yes No
Please state which
Do you have any other qualifications?
Eligibility
Are you currently eligible to work in the United States?

Yes No
Do you agree to submit to a criminal background check?

Yes No
Availability
Please tell us where and when you can work.
How far would you travel to see clients?
Do you have a valid California drivers license?

Yes No
Do you have access to a car?

Yes No
What days are you available?

Monday Tuesday Wednesday Thursday Friday Saturday Sunday
What times are you available?

Morning Afternoon Evening
Are you currently employed?

Yes No
Are you currently a full or part time student?

Yes No
Advanced Skills
Please tell us of any special skills you may have.
Have you worked with children with learning disabilites?

Yes No
Please tell us more
Have you worked with children with attentional issues?

Yes No
Please tell us more
Getting to know you.
Please tell us a little more about yourself, what motivates you, your passions and plans.
We aim to provide a great match between our Specialists and the student.
References
Please provide the names of two professionals we can use as references. (These cannot be family or friends)
First reference
Name
Telephone
Email
Profession/Relationship
Second reference
Name
Telephone
Email
Profession/Relationship
Form Submission
Browse your computer or network to upload your cover letter.
Upload your cover letter
Browse your computer or network to upload your Profile Picture
Upload your Picture
Optional
Browse your computer or network to upload your CRV or resume.
Upload your resume
Submit your application by clicking the button below
Administration only:
Postion

Academic Coach Educational Specialist Administrative
Hire Date

Month Day Year
Rate
Should be Empty:

Employment Application

Your Skills

Your Education

Eligibility

Availability

Advanced Skills

Getting to know you.

References

Form Submission

Submit your application by clicking the button below