Application

Print the following application, fill out all blanks and initial where indicated. Only complete applications can be processed. Send application to 11311 N 50th St. #2, Tampa, FL 33617 with a check for $10.00 $0.00 per semester plus $5.00 per link. Present semester: Fall 2007
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Name: _____________________________________________________________

Email Address: ______________________________________________________
Do you want your email address posted as contact information? YES NO

Phone Number: ______________________ THIS IS YOUR CONTACT NUMBER
It is recommended that all tutors have answer machines or personal secretary.

Secondary Number: ___________________ (Such as cellular phone)
Do you want your this secondary number posted as contact information? YES NO

Tutors must have a B in any course tutored, or a 3.3 overall in the given subject is.
SubjectGrade

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House Rules
It is recommended that tutors meeting high school student in their home follow house rules:

Initial that you have read the house rules: _____

Disclaimer
The Tutor is paid directly by the Student; neither the Pedagogue nor Acceber is responsible for the tutor being paid. The Pedagogue is not responsible for withholding taxes for tutors. Tutors are responsible for reporting all moneys earned through private tutoring for tax purposes. The Pedagogue provides these pages as a referral service only.
Initial that you have read the disclaimer: _____


Include all information you wish to be included under your name
What level do you tutor?

Preferred Location: _______________________________________________

Do you travel? Yes No
If yes, what is your radius of travel: ___________________________________
And, how much is your travel fee: ___________________________________

What is your hourly rate: $__________________
Do you want this information posted? Yes No


Links pages: (include $5.00 per link per semester, up to five links):














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Updated August 8,2007