Become a Tutor « Revise WA

Become a Tutor

If you wish to apply to be a tutor for REVISE WA, please fill in the form below while providing as much detail as you can.

Main Details Full name: Date of birth: (dd/mm/yyyy) Address: Postcode: Phone: (Include area code) Mobile: Fax: (Include area code) Email:

Professional History Brief summary of qualifications:

Teaching Experience & Areas of Speciality:

Any other relevant information:

Areas of interest:

Teaching preferences Preferred Teaching Level:
(select one or both) Yrs. K to 2 Yrs. 3 to 7

Availability from: To: (This year only)

Prefered transport: (Bus, own car, plane etc...)

Spouse/partner name: (Only if they will accompany you)

Referees

Please provide the name of at least two referees

Referee 1: Phone:

Referee 2: Phone:

Clearance

A "Working with children" Check or WACOT membership is required

Applicant Card No: Expiry: (dd/mm/yyyy)

Spouse/Partner Card No: Expiry: (dd/mm/yyyy)