Literacy Mentoring & Tutoring
Volunteer Registration
Today's Date
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Month
-
Day
Year
Date
Name
*
First Name
Last Name
Birthdate
*
/
Month
/
Day
Year
Date
Age
Gender
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone
*
Other Phone
Church you Attend / Ministry Org.
Ministry Involvement (If any)
What Spoken Languages do you speak?
How did you hear about this In-Person Tutoring / Mentoring Initiative?
What is your Highest Level of Education?
What College did you attend or are currently attending?
What was / is your Occupation?
Past Experience as a Tutor or Teacher? Y/N (experience not required)
Are you able to Volunteer during normal school hrs.(typically from 8am-3pm)?
*
Yes
No
What days are you available?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Please select all that apply.
How many children would you be able to help at one time?
*
1 child
2 children
3 children
3-5 small group of children
If needed, would you stay for additional periods of the day and help more children? (For ex: 1 pd is 45 min., 2 pds are 90 min., 3 pds are 2hrs:15min.)
*
Yes, 2pds
Yes, 3pds
Only 1 pd
If it was required for schools to return to remote learning at any point, would you continue as a Virtual Tutor?
Yes
No
Kindly advise if you have a school preference.
What Questions or Concerns do you have? (if any)
Background/Fingerprinting check (within the last 3 years) Y/N
Thank you for you interest in being a Literacy Tutor & Mentor.
Blessings!
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