Tutor Application

Tutor Application - UPLIFT/Kids at Heart tutoring

* Indicates required field

Name *

First

Last

Email *

Cel Phone Number *

Alternate Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

How did you find out about UPLIFT? (church, friend, website, United Way, etc) *

Why are you interested in being a Kids at Heart tutor? *

What Student age groups and academic subjects are most comfortable for you to Tutor? *

Other Community Involvement, Volunteer Activities? *

Please note, a Background Check is required for all Tutors - Have you ever been convicted of a crime? *

No Yes

Personal Reference Name *

First

Last

Personal Reference Email *

Personal Reference Phone Number *

Professional Reference Name *

First

Last

Professional Reference Email *

Professional Reference Phone Number *

Do you promise not to smoke, drink alcohol, partake in drugs, or break the law while working with Kids at Heart? *

Yes No

As a KAH Tutor, I will be supportive, provide guidance, and serve as a positive role model for my Kids at Heart student. *

Yes No

Please choose your top three tutoring sites (we will do our best to accomodate) *

Mondays 3:00-4:15pm at First Presbyterian Church 320 Date Street, San Diego, CA 92101 Mondays 6:00-7:15pm at St. Paul's Cathedral 2728 6th Avenue, San Diego, CA 92103 Mondays 3:45-4:00pm at Washington Elementary Tuesdays 5:30-6:30pm at Hacienda Learning Center 350 17th Street, San Diego, CA 92101 Wednesdays 5:30-6:45pm at Bank of America Center 665 W Broadway, San Diego, CA 92101 Wednesdays 6:00-7:30pm at Iglesia Presbiteriana 2691 B Street, San Diego, CA 92102 Thursdays 3:30-4:45pm at Orange Ave Colina Park Rec Center 5319 Orange Avenue, San Diego, CA 92105

I understand that once the Program Manager receives this Tutor Application, I will be contacted to schedule a meeting/orientation (to go over the program in more detail, answer any questions you may have, and decide on a tutoring site that works best) as well as receive information about where to get fingerprinted *

Yes No

Submit Application - Thank You!