lcs_Tutor & Volunteer Application

Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Closest Library

E-mail *

May we e-mail you information, schedules, and other opportunities? *

Date of Birth *

Month Day Year

Home

Area Code Phone Number

Cell

Area Code Phone Number

Work

Area Code Phone Number

I am interested in (check all that apply)

Basic Literacy Program: Teaching adults to read and write (basic literacy skills) ESOL Program: Teaching English to adult speakers of other languages Workplace Literacy Program: Teaching working adult employees/members of other businesses or organizations Volunteering in another capacity

What device will you use for online tutor training?

Laptop Desktop iPad

Preferred times for tutoring: Please check all that apply to assist matching with an adult learner.

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

AM

PM

After 5 p.m.

Any previous tutoring experience?

Education (grade or college level completed)

Field of study

Do you speak another language? (not necessary to tutor)

Other community volunteer affiliations?

Would you be willing to tutor or do you have experience in the corrections system?

Are you a ___________ resident of Sarasota?

Number of months you spend in Sarasota

What is your current status?

Area of current or prior work experience

How did you hear about the Literacy Council?

Photo Release Statement

I authorize and grant the Literacy Council of Sarasota permission to reproduce and distribute printed or electronic means of my photographic image(s). I understand and agree that the use of such images will be without monetary compensation and may be used by the organization in mass media, displays, brochures, websites, etc. My signature below shows that I have read this statement and understand this release and agree to accept its provisions.

Signature *

Clear

Date

Month Day Year

Name

First Name Last Name

Date

Month Day Year

Other Volunteer Opportunities

As with all dynamic organizations, there are many projects that are handled by our multi-skilled and talented volunteers. If you are interested, please select an activity on our LCS team where you interests, skills and talents can shine!

Volunteer and internship positions available. Check all that apply:

Tutor training – Train and mentor other volunteer tutors. Social Networking Coordinator – Help maintain Facebook and other sites. Speaker’s Bureau – Advocate for literacy through presentations and speaking engagements. Literacy Writer – Write articles, press releases and copy for LCS. Events – Help coordinate, plan or organize events.

Other interests/talents:

Days/times available: