LDAWC Volunteer Application Form for ONLINE Reading Rocks Program

LDAWC Volunteer Application Form for Reading Rocks Program
OUR MISSION STATEMENT
The Learning Disabilities Association of Wellington County (LDAWC) is a charitable, nonprofit organization dedicated to improving the lives of children, youth and adults with learning disabilities so that they can reach their full potential. Through outreach, education, advising and advocacy, the Learning Disabilities Association of Wellington County's mandate is to advance the education, employment, social development, legal rights and general well being of individuals with learning disabilities.

BECOMING A VOLUNTEER

LDAWC is looking for enthusiastic, committed, motivated people who would like to be positive role models. You must also have excellent oral and written English language skills, as Reading Rocks is a reading/literacy program. Since the program is currently run online, it is essential that you have access to a working device (e.g., computer, tablet, etc.) with microphone, camera, and reliable internet connectivity.

You must be a minimum of 15 years old to apply to volunteer.

All new volunteers must attend a mandatory training/orientation session that will be held roughly a week before the program begins (online until further notice). The time commitment for this volunteer opportunity is 2 evenings a week one-on-one tutoring (1 hour each evening) for a total of 16 sessions plus approximately 1 hour per week outside of program hours for activity preparation.

All volunteers aged 18+ must have a current Police Vulnerable Sector Check clearance issued within one year of the start of the program. While LDAWC is not in a position to cover associated fees, we will happily provide you with a letter to present to your local police station if required.

A letter of reference is available after the program upon request.

PROGRAM DATES

We now run programs year-round (winter, spring, summer and fall). Programs generally run twice a week (Monday and Wednesday OR Tuesday and Thursday) in the early evening.
* required
Your Name *

First Name Last Name
Your E-mail Address *
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date of Birth *

Month Day Year
Date
Please Indicate Your Preferred Days to Tutor *

Monday and Wednesday (6:00-7:00 pm) Monday and Wednesday (6:30-7:30 pm) Tuesday and Thursday (6:00-7:00 pm) Tuesday and Thursday (6:30-7:30 pm) I could tutor on either M/W or T/T

Please Indicate Your Preferred Location to Tutor (Fergus & Guelph locations may be switched to online due to covid. You will be notified in advance). *

	1st Choice	2nd Choice	3rd Choice	Not Interested
Guelph (east) Mon. & Wed. 6:30-7:30 pm
Fergus Mon. & Wed. 6:00-7:00 pm
Online Tues. & Thurs 6:00-7:00 pm
Online Tues. & Thurs 6:30-7:30 pm

Please Indicate Your Preferred Day and Time to Tutor *

	1st Choice	2nd Choice	3rd Choice	Not Available
Mon. & Wed. 6:00-7:00 pm (online)
Mon. & Wed. 6:30-7:30 pm (online)
Tues. & Thurs 6:00-7:00 pm (online)
Tues. & Thurs 6:30-7:30 pm (online)

Are you fluent in the English language? *

Yes No
What is your educational background? *
Have you had experience working with children or tutoring children? Please describe: *
Have you had previous volunteer experience? At what organization(s) and what did you do? *
Do you have a Vulnerable Sector Check that has been issued within the last 12 months? *

Yes No
Do you have any other experience that is relevant to this position? *
What are some of your interests and strengths? (We use your answer to help match you with a student.) *
What do you think makes you a suitable volunteer literacy tutor? *
Please describe your current understanding of the components of phonics, sight word vocabulary and fluency? *
Please describe your knowledge of Learning Disabilities and Attention Deficit Hyperactivity Disorder (ADHD) *

Please rate your skills and qualifications in the following: *

	No experience	Some experience	Extensive experience
Tutoring/Teaching
Mentoring/Coaching
Use of Microsoft Teams
Interpersonal communications
Lesson/program planning
Time management
Creativity
Organization
Behaviour management
Reliability and punctuality

Is there any other information you would like to share?
How did you hear about our organization? *
References

Please note we need 2 references. Family members and friends cannot be references. Please provide name, relationship (e.g. supervisor, teacher, coach), phone number and email address.
Reference One (name, relationship, phone number, email address: *
Reference Two (name, relationship, phone number, email address: *
Terms and Conditions
1. I hereby authorize photographs and/or videotaping to be taken of me while at the Learning Disabilities Association of Wellington County (LDAWC) for the purpose of promoting the program.

2. I understand that the information collected on this form will only be used to assess my eligibility for the position. This information will only be shared with LDAWC staff and Board. I give permission to Learning Disabilities Association of Wellington County to contact the persons listed as my references for the purpose of obtaining reference information. These persons are aware that LDAWC may contact them and have my permission to discuss information regarding my current and/or previous employment.
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LDAWC Volunteer Application Form for Reading Rocks Program

References

Terms and Conditions