Employment | Dunedin WEA

Tutor Application Form

If you are interested in teaching a class with Dunedin Workers’ Educational Association: Te Wāhi Ākoranga o Ōtepoti Inc.,
please fill in the form below.

Tutor Application Form v2

First Name

For position of tutor in

Last Name

Date

Your address

Number and Street

Floor or Building

City

Postcode

Home or Mobile Phone

Work Phone

Relevant Qualifications / Experience

Recent Teaching / Tutoring Experience

Recent Employment

Employer

Position

Dates from and to

Add another position

Employer

Position

Dates from and to

Add another position

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's Name

Referee's Phone/Mobile

Referee's Email

Number & street

Building or Floor

City

Referee's Name

Referee's Phone/Mobile

Referee's Email

Number & street

Building or Floor

City

Please attach brief CV for our confidential information

Choose File

Title and Brief Description of your proposed course

Police Disclosure Form

First Name

Last Name

Previous Names

Date of Birth

Number & street

Building or Floor

City

Postcode

Country

Place of Birth

I give consent to have my name submitted for police screening.