TUTOR APPLICATION FORM

PERSONAL DETAILS

FIRST NAME: Mojalefa SURNAME: Motloutsi

ID NO: 9408015442086 AGE: 23 GENDER: Male

CELL NO: 0837200562 OTHER NO:

e-MAIL: 704239@students.wits.ac.za ADDRESS: Argon Building, Juta

,streeBraamfontein
j

EDUCATION AND OCCUPATION DETAILS

CURRENT OCCUPATION: Student INSTITUTION/COMPANY: Wits University

If studying,
COURSE: BSc Chemical Engineering YEAR: 3rd

CURRENT RESULTS:

Subject 1: Process Design %: 58 Subject 3: Chemical Engineering %: 62

Principles Thermodynamics
Subject 2: Environmental %: 62 Subject 4: Chemical Engineering %: 67
Process Engineering Laboratory

MATRIC RESULTS:

SCHOOL: Bokamoso Secondary School EXAM BOARD: NSC MATRIC YEAR: 2012

Subject 1: Mathematics %: 97 Subject 5: Geography %: 71

Subject 2: Physical science %: 97 Subject 6: English FAL %: 67

Subject 3: Life sciences %: 92 Subject 7: Sepedi HL %: 68

Subject 4: Life Orientation %: 74 Subject 8: %:

TUITION DETAILS

I AM ABLE TO TUTOR AT BRYANSTON: 

(Please indicate as appropriate)

I AM ABLE TO TUTOR …

SCIENCE:  Up to Grade: 12 MATHS:  Up to Grade: 12

OTHER INFO
If yes,
DO YOU HAVE A CAR? no HAVE YOU TUTORED BEFORE? ye LEARNER AGE? 18
s
WHAT WOULD BE YOUR DREAM JOB?
Process engineer. Developing control behavior models in petroleum plants.

WHAT ARE YOUR INTERESTS AND HOBBIES?

I like reading novels and comicbooks. I also enjoy playing basketball.

HOW DID YOU HEAR ABOUT XL@SCIENCE?

Through an ad on indeedjobs.co.za

TIMETABLE

PREFERRED NO OF HOURS PER WEEK: 6 GRADES YOU’D PREFER TO TUTOR: 10, 11 &
12
Please select the times that would suit you best:
1. In the appropriate boxes place a ‘1’ for the most preferable time slots
2. Select any other slots where you could possibly be available with a ‘2’
3. If there are any times that you are definitely not able to make, please place an ‘X’.
Every attempt will be made to give you your preferred times. However, it depends largely on the session timetables of the enrolled
learners and other tutors.

MON TUE WED THU FRI SAT

2:00 – 3:00 1 2 1 X 2 1
Sat (9-10)

3:00 – 4:00 1 1 1 1 1 1
Sat (10-11)

4:00 – 5:00 1 1 1 1 1 2
Sat (11-12)

5:00 – 6:00 X 2 2 2 X X
Sat (12-1)
Tutor Application Form (v4) – Aug 2015