NOTE: When you hit submit, the survey boxes should disappear and a thank-you message will appear at the top of the page. If you want to confirm that we've received your application, send us an email at info@primenumbers.guru. Thanks for your interest!

In a few sentences, please explain why you are interested in being an instructor for Prime Numbers and what makes you a good candidate.

We provide math enrichment and support for middle and high school students. Use the checkboxes to indicate your qualifications for supporting each course. (No one is expected to be fully prepared to teach all math levels!)

We want to match our instructors' talents, interests, and skills to the most appropriate classes at Prime Numbers. Please indicate your instructional preferences from the list of courses above.

Please specify the days of the week and the hours you anticipate being available during the 2015-16 school year. Feel free to note any exceptions or make specific comments regarding these hours.

Prime Numbers hours of operations fall between the hours of 8:00 am and 8:00 pm. Please specify the days of the week and hours you anticipate being available during the Summer of 2015. (For example, Mondays 10 am to 3 pm, Tuesdays 2 pm to 8 pm.) Feel free to note any exceptions or make specific comments regarding these hours.

Please provide three professional references who are familiar with the quality of your work in an educational capacity (i.e., supervisor, coworker, parent of a student, etc.). For each reference, provide the reference's name, phone number, email address, and the context in which they know you.

Please list your education, including colleges attended, degrees earned, and dates in attendance.

Please list any additional educational activities in which you've participated. Include activities such as leadership roles, committees, coaching positions, and professional development courses/programs.

Please describe any tutoring experience. Include subjects tutored, ages of students, and length of time.

Please provide details on current and previous teaching positions. Include subjects, courses, grade levels, and years teaching each course.

Please list your work history, including the name of each employer, positions held, supervisor's name, and dates of employment.

Enter the date (MM/DD/YYYY) you are available to begin work.

Enter your preferred email address.

Enter an additional phone number if desired.

Enter the best phone number to reach you.

Enter your full street address.

Enter your full name.

By submitting this application, I certify that my responses are true and complete to the best of my knowledge. If this application leads to employment at Prime Numbers, I understand that false or misleading information in my application or interview may result in my release.

Calculus *

Currently teach this course.