Volunteer Application
Background
Name
*
First Name
Last Name
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
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Brunei
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Burkina Faso
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Chad
Chile
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Christmas Island
Cocos (Keeling) Islands
Colombia
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Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
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Democratic Republic of the Congo
Denmark
Djibouti
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Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
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The Gambia
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Gibraltar
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Guadeloupe
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Iran
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Israel
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Jamaica
Japan
Jersey
Jordan
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Kenya
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North Korea
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Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
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Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Cell Phone
*
-
Area Code
Phone Number
Alternate Phone
*
-
Area Code
Phone Number
Email
*
example@example.com
Preferred Communication
*
Phone
Cell Phone
Email
Education Level
*
High School Diploma
Some College
Bachelor's Degree
Master's or Above
Employment
*
High School Student
College Student
Employed Part-Time
Employed Full-Time
Home Maker
Retired
Other
Current Employer
*
Gender
*
Male
Female
Birthdate
*
-
Month
-
Day
Year
Date
Native Language
*
Other Languages
*
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Emergency Contact & Previous Volunteer Experience
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Emergency Contact Email
*
example@example.com
Previous Volunteer Experience
*
Why Do You Want To Volunteer?
*
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Program Interests
Select all areas that interest you
*
Tutoring Program Volunteer
Enrichment Program Volunteer
Family Literacy Program Volunteer
Event Volunteer
Please summarize special skills and qualifications
*
How did you hear about volunteering with Teton Literacy Center?
*
Friend
Family
Newspaper
TLC Website
TLC Newsletter
Radio
Email
How would you like to be recognized as a volunteer?
*
On our website or in the newspaper
With a personal letter from students or staff
At a party with other volunteers
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Availability
Start Date
*
-
Month
-
Day
Year
Date
Hours per week
*
Days available
*
Monday
Tuesday
Wednesday
Thursday
Do you have any upcoming vacations or commitments that will interrupt your schedule?
*
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References
Please list two local, non-family members
Reference 1
*
First Name
Last Name
Reference 1 Email
*
example@example.com
Reference 2
*
First Name
Last Name
Reference 2 Email
*
example@example.com
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Please initial if we can use your photo in our marketing materials
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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.
*
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Release from Liability: I am aware that as a volunteer I expose myself to potential hazards which include but are not limited to: accidents, illness, property damage, etc. I am voluntarily participating in this service with the knowledge of the potential hazards involved and hereby agree to accept any and all risks of injury. I agree that my assignees, heirs, distributes, guardians and other legal representatives will not make a claim against, or sue for injury or damage resulting from the negligence or other acts, howsoever caused, by any employee, agent, or volunteer contractor of the organization as a result of my participation as a volunteer. I hereby release Teton Literacy Center and its officers, volunteers and agents from all actions, claims, or demands that I, my assignees, heirs, guardians and legal representatives now have or may hereafter have for injury resulting from my participation as a volunteer. If under 18, parent signature required to assure Release of Liability for their child.
*
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Applicants under the age of 18 need parent/guardian permission to volunteer. By signing below you authorize your child to volunteer at Teton Literacy Center.
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