Exit CTA 24-25SY Staffing Interest Form Question Title * 1. What is your contact information? Full Name (First & Last) * Address * Address 2 (Apartment Number) City/Town * State/Province * ZIP/Postal Code * Email Address * Phone Number * Question Title * 2. Are you a certified teacher? Yes (If employed, submission of your current teaching certificate is required) No College Student Question Title * 3. Have you worked with CTA in the past? Yes No Question Title * 4. Which instructional delivery method do you have experience with (Check all that apply)? Virtual In-person Both Question Title * 5. Select available instructional times (Check all that apply). After school Before school During-the-day Question Title * 6. What grades are you qualified to teach? Elementary School (K-5) Middle School (6-8) High School (9-12) Question Title * 7. Which subject area(s) are you qualified to teach (Check all that apply)? ELA Math Science Other Question Title * 8. Which school district are you currently employed? Wayne County Pubilc Schools (WCPS) North Carolina Charlotte Mecklenburg Schools (CMS) North Carolina Aurora Public Schools (APS) Colorado Horry County Schools (HCS) South Carolina Other Question Title * 9. Select a school site to join our team for Charlotte Mecklenburg Schools? Charlotte Islamic Academy (5500 north Tryon Street Charlotte, NC 28216) Victory Christian Center School (1501 Carrier Dr, Charlotte, NC 28216) None of the above Question Title * 10. Select a school site to join our team for Wayne County Public Schools. Eastern Wayne Middle School (3518 Central Heights Rd, Goldsboro, NC 27534) Mount Olive Middle School (309 Wooten St, Mt Olive, NC 28365) Brogden Middle School (3761 S U.S. 117 Alt Hwy, Dudley, NC 28333) Greenwood Middle (3209 E Ash St, Goldsboro, NC 27534) Dillard Middle School (1101 Devereaux St., Goldsboro, NC 27530) Spring Creek Middle School (3579 NC-111, Seven Springs, NC 28578) None of the above Question Title * 11. Select a school site to join our team for Aurora Public Schools. East Middle School (1275 Fraser St., Aurora, CO 80011) North Middle School (12095 Montview Blvd., Aurora, CO 80010) Mrachek Middle School (1955 S. Telluride St., Aurora, CO 80013) None of the above Question Title * 12. Select a school site to join our team for Horry County Schools. Aynor Middle School (400 Frye Road Galivants Ferry, SC 29544) Conway Middle School (1104 Elm St. Conway, SC 29526) Black Water Middle School (900 East Cox Ferry Road Conway, SC 29526) None of the above Question Title * 13. How did you hear about working for us? Company website CTA flyer Word-of-mouth Other (please specify) Question Title * 14. What inspires you to do tutoring? Done