Volunteer Application
Please fill out the following form with your personal information. If you have any questions or difficulties, please email frontdesk@readcenter.org or call the office at 804-288-9930.
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Gender Identity
*
Please Select
Female
Male
Nonbinary
Prefer not to answer
Ethnicity
*
Please Select
Native American or Alaskan Native
Black or African American
Native Hawaiian or Pacific Islander
Asian
Hispanic or Latino
White (Non-Hispanic)
Two or more races
Prefer not to disclose
Have you volunteered with READ RVA before?
*
No, I'm a new tutor
Yes, I have tutored with READ RVA before
What is your highest level of education?
*
Please Select
High School Diploma or Equivalent
Some College
Associates Degree
Bachelors Degree
Masters Degree
Doctorate Degree
Other Professional Degree
Other
Are you retired?
*
Please Select
Yes
No
What is your occupation (or former occupation?)
Who is your current (or former) employer?
What volunteer opportunities are you interested in?
*
Digital Skills Tutor (in-person)
Assessment Administrator
What is your availability?
*
Daytime
Evening
I have access to reliable transportation and am willing to travel within the metro-Richmond area.
*
Yes
No
Do you have experience teaching or tutoring anyone with special needs or learning differences?
*
Yes
No
If yes, please describe your experience.
What attracted you to volunteering with adult learners? Is there an aspect of adult basic education that motivates you to be involved?
*
What are you looking to get out of your volunteer experience? What would make you feel like you've been successful?
*
What skills and qualities do you feel you have to contribute to READ RVA's adult students?
*
Periodically, READ RVA offers specialty workshops to students. Would you be interested in leading a workshop in any of the following areas?
Writing
Math
Financial Literacy
Digital Literacy
How did you hear about READ RVA?
*
Word-of-mouth
Current/former tutor
Internet search
Volunteer Match
HandsOn Greater Richmond
Social Media
Community Event
Newspaper
Radio
Other
If you heard about us from a current/former tutor, what is their name?
By submitting this volunteer application, you agree to receive email correspondencefrom READ RVA.
*
Yes, I understand.
Please review the policies and procedures handbook below.
Please be advised that you may be photographed or videotaped while participating inREAD RVA's programs or events. Photography or recordings with or without yourname may be used for any lawful purpose, including illustration, advertising,web/social media content, and volunteer recruitment.
*
Yes, I understand.
Signature
Please enter your full name and the date below. By doing so & submitting this form, you are signing this document electronically. You agree that your electronic signature is the legal equivalent of your manual/handwritten signature on this document. You agree that to the best of your knowledge, all the above information is verified and true.
Full name
*
Date
-
Month
-
Day
Year
Date
Submit
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