Tutor Application Form

First Name


Last Name


Street Address


City


Zip Code


Date of most recent BCI/FBI check (N/A to Dublin and Hilliard )


Email Address


Phone Number


Describe your experience working with children


Have you tutored with CTI before?
Yes No

What times and days of the week would you be available to tutor?


What schools or school districts would you like to work with?


How did you hear about the Children's Tutoring Initiative?