OIC Reading Program Tutor Application

Adult Reading Tutor Application

(Contribute to creating a more equitable society.)
Email - (For communication with this program, please provide an updated and active email address)
example@example.com
Your Name

First NameLast Name
Cell Phone Number
Please enter a valid phone number.
Alternate Contact Phone (Optional)
Please enter a valid phone number.
Work Phone Number (Include extension if applicable)
Please enter a valid phone number.
Date of Birth

MonthDayYear
Your Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I am currently:

Employed full-timeEmployed part-timeNot EmployedRetired
Employer Name and Position
Language(s) Spoken
Times Available - (select all that apply)

Weekday MorningsWeekday AfternoonsWeekday EveningsWeekend MorningsWeekend MorningsWeekend AfternoonsWeekend Evenings
Preferred Tutoring Location (must be a public place) -(select all that apply)

OICLibraryOther
Volunteer Interest Area(s) - (select all that apply)

ReadingESL/ELL
Summarize your special skills and qualifications you have acquired from employment, previous volunteer work, or through other activates, including hobbies or sports.
Summarize your previous volunteer experience.
Tell us how you heard about OIC.
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. I understand that I will not be paid for my services.
Date

MonthDayYear
Today's Date
Your Signature Please

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Adult Reading Tutor Application