Contractor Application
719-487-1564
Summer Hours (May - July)                              
                       8:00 am - 8:00 pm
Forever Learning on Wheels, Sherman Fuller  |  Phone:719-487-1564  |  Fax: 718-487-1564  

Email:  info@foreverlearningonwheels.com     |   P.O. Box 94, USAFA, CO 80840
Regular Hours (August - April)
            BY APPOINTMENT ONLY
HOURS OF OPERATION
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Time in Colorado Springs:
On-Line Independent Contractor Application
The Application is to be completed by all independent contractors. Please answer all questions completely and sign page three. If additional space is needed to answer the questions, you may use the backside of the application.
Date:
Name:
Please list other names that you have used in the past.
Address:
City:
State:
Zip Code:
Present Occupation:
How Long Have You Been There?
Give brief description of job duties:
Phone one:
Emergency contact name and number and affiliation 
(Example: Spouse, Friend, Sister etc.):
Is this number your 
Is this number your 
Contractor Application:

Thank you for your interest in workings as an independent contractor for Forever Learning On Wheels. 

You may click on "Print Contractor Application" below, fill out the form and get it back to us, or fill out the submission form application below. 

If you have any questions please contact us at info@foreverlearningonwheels.com


Phone two:
Date of Birth:
List Academic & Professional Credentials. 
Education & Training or Special Skills.
(Identify formal education courses and on the job training, including the institution)
Past Occupation (s) or experience:
1.
Position
Job Title:
Position
Name:
Brief Description of Duties:
How Long Were You There?
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12, a. 
15.
16.
12, b. 
12, c. 
12, d. 
12, e. 
Reason for leaving?
Position
Job Title:
Position
Name:
Job Position Number Two:
Brief Description of Duties:
How Long Were You There?
13, a. 
13, b. 
13, c. 
13, d. 
13, e. 
Reason for leaving?
Position
Job Title:
Position
Job Title:
Position
Name:
Job Position Number Three:
Brief Description of Duties:
How Long Were You There?
14, a. 
14, b. 
14, c. 
14, d. 
14, e. 
Reason for leaving?
Position
Job Title:
Connect with us!
Educational Li-censure and dates:
Length of your tutoring commitment 
(please include the days and time you are available.)”:
17.
18, a.
Date you are 
available?
Monday

Tuesday

Wednesday

Thursday

Friday

Saturday
Times Available            From:                    To:                    
Is there anything that would prohibit you from driving your vehicle to a tutoring site?
18, b.
If you answered yes then please give a brief description.
Name two referrals:
Name:
Address:
Phone:
Email:
Name:
Address:
Phone:
Email:
19.
20.
List two character references:
22.
21.
Name:
Address:
Phone:
Email:
Name:
Address:
Phone:
Email:
I have read and agree with  the terms of
employment for Forever Learning On Wheels and all statements and answers to the best of my knowledge are true.
that you have read the Forever Learning On Wheels Terms and Conditions and Having the foregoing information and having affirmed the foregoing statements are true, I recognize that any false information or statements are punishable under the laws relating to perjury.

Job Position Number One:
Thank you! You information will be held confidential.
19.
Name:
Address:
HomeCellWork
HomeCellWork
By checking this, you are acknowledging