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
*
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.
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 before?
*
No, I'm a new tutor
Yes, I have tutored with READ 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?)
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 The READ Center’s adult students?
*
Periodically, The READ Center 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 The READ Center?
*
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?
Can we email/mail you about READ Center newsletters, events, and fund drives?
*
Yes
No
Volunteer Handbook - Policies & Procedures
Please be advised that you may be photographed or videotaped while participating in The READ Center’s programs or events. By checking below, you agree that The READ Center may use such photography or recordings with or without your name for any lawful purpose, including illustration, advertising, web/social media content, and volunteer recruitment.
*
Yes, The READ Center can use pictures & videos of me.
No, The READ Center cannot use pictures & videos of me.
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
Should be Empty: