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Applicant Information

Education

Position Information

Have You Previously Worked for a Tutoring Provider?
 Yes No

If yes, please provide state, company name, dates, and job title.

Can You Pass a Criminal Background Check and Drug Screening?
 Yes No

If not, please explain why.

Employment

Professional References (3 people who are not relatives or personal friends)

Additional Information

RELEASE/ACKNOWLEDGEMENT
In consideration of my possible employment by Genii Learning Services, Inc., I give Genii Learning Services, Inc. permission to conduct a background investigation which may include calling references, police checks and any other investigation which the Company may deem appropriate to screen. Also, in consideration of my employment as a Staff Memeber by Genii Learning Services, Inc., I agree to never directly solicit, for the purpose of providing tutoring services, any parent or student introduced by Genii Learning Services, Inc without the Company’s written consent. Should the parent or student solicit me, I agree to refer them to Genii Learning Services, Inc. and not to work for the parent or student directly. I also agree not to work for a competitive tutoring service during the time period of my employment by Genii Learning Services, Inc. without the Company’s express written consent.

 I have read and agree to the above release/acknowledgement