New Tutor Registration

Please tell us about you.

Country
State / Province*
Address
City
Email*
Confirm Email*
Phone
Enter Today's Date (in mm/dd/yyyy format)*

How did you hear about us?

Referred By
  • Bridgewater State College
  • Brochure / Flyer
  • Friend
  • Internet
  • News Article
  • Other
  • School District
  • Social Media
  • SOWMA Staff
  • SOWMA Tutor
  • Stonehill College
  • Website
If you selected other, please tell us more...
Employer
Job Title

Tutors must be 18 years or older. High School students are allowed to tutor as long as an adult is with them. 

Date of Birth*

Emergency Contact Information

Emergency Contact Name
Emergency Contact Phone

Additional Information

Skills (select one or more skills you can share with our students)
  • SAT
  • MCAS Math
  • MCAS ELA
  • Math
  • High School Math
  • Special Education
  • Early Childhood Teacher
  • Elementary Teacher
  • Middle School Teacher
  • High School Teacher
  • Reading Specialist
Skills Other
Subjects Uncomfortable With

Check all age groups you prefer to tutor. We try our best to match you with the grade preferences of your choice. 

Grade Preferences
  • Kindergarten
  • 1st Grade
  • 2nd Grade
  • 3rd Grade
  • 4th Grade
  • 5th Grade
  • 6th Grade
  • 7th Grade
  • 8th Grade
  • 9th Grade
  • 10th Grade
  • 11th Grade
  • 12 Grade
  • No Preference

Sometimes, we are not able to match you right away or your schedule changes.  Would you mind being added to our substitute list?

Tutor Language

Please share with us if you are fluent in other languages.
  • Spanish
  • French
  • Haitian Creole
  • Other
If other, please note.

Tutoring Preferences

Availability - How many sessions can you commit to?*
  • Tutoring Session 1 (September-December)
  • Tutoring Session 2 (January-June)
Please select one or more communities*
  • Attleboro
  • Brockton
  • Fall River
  • Middleboro
  • New Bedford
  • Norwell
  • Stoughton
  • Taunton
  • Weymouth
Please select one or more days*
  • Monday
  • Tuesday
  • Wednesday
  • Thursday

VOLUNTEER’S RELEASE OF SCHOOL ON WHEELS OF MASSACHUSETTS, INC. FROM LIABILITY

I have volunteered to serve as a tutor of homeless children in furtherance of the purposes of School on Wheels of Massachusetts, Inc., a Massachusetts charitable corporation (“School on Wheels”). I understand and affirm that in connection with this volunteer role, I will be required to travel to one or more homeless shelters/schools from time to time and participate as a tutor for one or more children who reside or attend school at those shelters /schools (the “Program”).

 

I hereby agree to assume all risk of accident, injury, sickness, death, loss of/or damage to my personal property or other detriment to me relating to or arising out of my participation in the Program.

 

I covenant that I will not now or at any time in the future, directly or indirectly, commence or prosecute any action, suit or other proceeding against School on Wheels and/or any of its members, officers, directors, employees, or agents, arising out of or relating to my participation as a volunteer in the Program. I also agree to hold School on Wheels and its members, officers, directors, employees and agents harmless from any claims relating to my participation as a volunteer in the Program.

 

Further, I understand and agree that I am choosing to participate in the program on a voluntary basis, and I am not required to participate.

Signature*

 

Please type your full name in the box above
Under the Electronic Signatures in Global and National Commerce Act (E-Sign), the information you submitted on this application is legally binding in the same manner as are hard copy documents executed by hand signature.

Security Code

Share This Form

Powered by eTapestry.