www.azmat.com        Registration Form  for Individuals to join Lists of Online Tutors

 I am at least 18 years of age and have reached the adult legal age in my own Country. 
I also have at least one year's teaching experience in a subject that I wish to teach online.
   Yes   ....    No   .......  If you can not answer 'Yes', then please do not complete this form.
Note:  Any information provided in this form will only be processed, if the answer is 'Yes'.


Would you (or someone you know) be interested in Introducing at least 1000 Students to our Introduction to AZMAT System and Programming Course ?  We offer 10% of the basic course fee to those who can do so.
  (Thus, we offer to pay the sum of £5000 for introducing 1000 students, after the students have each paid £50 + UK VAT course fee).
  Yes      No      If the answer is  'Yes'  please send brief details via e-mail; we will then contact you for further discussion.
If the answer is 'No' we will still display your basic details on our website in your main subject. 
If you are not sure and need to visit other areas of the website, please do so now - before completing the form.


Male    Female              Title:    (Dr,  Mr,  Mrs,  Ms,  Miss)       

Initials:         Surname or Family Name:  

If you currently teach (in person) at a School, College, University or other Academic Institution - please enter -
Name of Institution:  
If you teach at more than one Academic Institution, please enter only the main one.


Home Address:     
                            
City or Town:        
Zip or Post Code:        
If there is no Zip or Post Code in your Country, please enter  XYZ  in the Post Code box. 

Country:                    

e-mail Address:         
                                   Please enter your e-mail address

e-mail Address:         
                                   Please enter your e-mail address again (same as above)


Telephone Number:      
Preferably please enter a Landline telephone number (including Country and area code)


Please tell us how or where did you hear about Lists of Online Tutors ?
If applicable please enter name of the relevant media, publication, search engine, website etc. 
      (please be specific)
 

Are you educated to at least degree level ?
   Yes     No    

Total Teaching Experience (at Schools, Colleges, Universities or other Academic Institutions)
  1 - 2 Years           3 - 5 Years           6 - 9 Years             10 Years or more


Please do not tick a box for the same subject in more than one area. 
For example, if you have 6 years' experience in Maths, tick Maths in 6 years' area only.
Do not also tick Maths in  3 and 5 years'  and  1 and 2 years' areas

Subject(s) in which you have 6 or more Years'  Teaching Experience  (Please tick only applicable boxes)
  Mathematics                     Physics                       Chemistry               Biology  
  English Language              English Literature


Subject(s) in which you have between 3 and 5 years'  Teaching Experience  (Please tick only applicable boxes)
  Mathematics                     Physics                       Chemistry               Biology  
  English Language              English Literature


Subject(s) in which you have between 1 and 2 years'  Teaching Experience  (Please tick only applicable boxes)
  Mathematics                     Physics                       Chemistry               Biology  
  English Language              English Literature


Days when you can teach (Please tick all applicable boxes)
 Monday to Friday               Saturday                      Sunday


Times when you can teach (Please tick all applicable boxes)
Morning  07:00 to 11:59 hrs   ....   Afternoon  12:00 to 16:59 hrs   ....   Evening  17:00 to 22:00 hrs
If you are based outside the United Kingdom, please note that the Teaching times shown are British Times (GMT). 


Age of your Potential Student (Please tick all applicable boxes)
Up to 11 Years     .....    12  to 15 Years     .....    16  to 18 Years     .....    19 Years and over  


Please enter in the box below any subjects other than those shown above which you would like to teach
and in which you have at least one year's teaching experience. For example,  Taught  -  XYZ  -  for 3 Years
You can also enter any queries, comments or suggestions below (not for displaying on the website)
General Comments, if any: (not more than 1000 characters or about 10 lines)
 


When this form is complete, please click the Submit button >>>       
The Submit button transfers the above information to us. 

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