VOLUNTEER STAFF APPLICATION
About You
Full Name
*
First Name
Last Name
Male/Female
Male
Female
Date of Birth
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Address
*
Street Address
Street Address Line 2
Town/City
State
Zip Code
Phone Number
-
Area Code
Phone Number
E-mail Address
*
Your Skills
Please enter the age groups you are able to tutor.
Pre-School
K-3
4-8
9-12
College/University
Adult
Hold CTRL for multiple selections
Which age groups have you tutored previously.
Pre-School
K-3
4-8
9-12
College/University
Adult
Hold CTRL for multiple selections
Please provide details of your previous tutoring experiences, what you did and what were the outcomes.
Please list the subjects you can teach or are able to help with.
Subjects
*
Please list at least one
Flexibility
Please tell us where and when you can work.
Preferred Location
Canton Township Comm. Center (Canton South)
Foltz Community Center (East Canton)
The Bin in Sandyville (Sandy Valley)
Hold CTRL for multiple selections
Available Days
Tuesday
Wednesday
Thursday
Hold CTRL for multiple selections
Available Times
2:00 pm
3:00 pm
3:30 pm
4:30 pm
5:30 pm
6:30 pm
Hold CTRL for multiple selections
Are you currently employed?
Yes
No
Are you in full time education?
Yes
No
Working with students with Special Needs
Have you worked with children with physical disabilities?
Yes
No
Please tell us more
Have you experience of working with students with mental disabilities e.g.ADHD, reading difficulties?
Yes
No
Please tell us more
Form Submission
Please upload your ID
Upload a File
Cancel
of
Submit Your Application
Print Form
Should be Empty: