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Tutor Application Form
If you are interested in teaching a class with Southland Education, please fill in the form below.
For position of tutor in
Date
Your Address
Number and Street
Floor or Building
City
Postcode
Home or Mobile Phone
Work Phone
Email Address
Relevant Qualifications / Experience
Recent Teaching / Tutoring Experience
Recent Employment
Employer
Position
Dates from and to
Liaison with other community groups
Tell us about “you” the tutor (include other areas of expertise)
Referees (at least two)
Referee #1
Referee's Name
Referee's Email
Referee's Phone/Mobile
Number & Street
Building or Floor
City
Referee #2
Referee's Name
Referee's Email
Referee's Phone/Mobile
Number & Street
Building or Floor
City
Please attach brief CV for our confidential information
Title and Brief Description of your proposed course
Police Disclosure Form
First Name
Last Name
Previous Name
Email
Date of Birth
Place of Birth
Number & Street
Building or Floor
City
Postcode
Country
SUbmit application
Programmes and Workshops
Invercargill
Childrens
Southerly Art School