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Home
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Contact Us
Who We Are
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Financials
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Become a Student
Become a Student
Student Application
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Tutor Application
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Tutor Application
Become A Tutor Application Form
Application Date
*
MM slash DD slash YYYY
First Name
*
Last Name
*
Address
*
Street Address
City
State
Zip Code
Home Phone
Work Phone
Cell Phone
*
Contact Email Address
*
What is the best way to contact you?
*
Work Phone
Home Phone
Cell Phone
Email
Date of Birth
MM slash DD slash YYYY
Gender
*
Male
Female
Other
Preferred Pronouns
She / Her / Hers
He / Him / His
Other
Ethnic Group (check all that apply)
Native American
Asian
Black
White
Hispanic
Other
Literacy Volunteers asks that you remain active in the program for at least one (1) year after you have been trained and that you spend at least 1 hour per week tutoring the student(s) assigned to you. Will this be possible for you?
*
Yes
No
When would you be available to start tutoring?
*
Immediately
Other, please specify starting month below
Starting month
Training includes a weekly discussion group that meets three times for one-hour each. Please indicate your preferred meeting times for this discussion group (check all that apply):
*
Weekdays at noon
Weekday evenings at 7:00
Saturday mornings at 9:30 am
Employment Status
*
Full Time
Part Time
Unemployed
Retired
Seeking Employment
Name of Current or Last Employer
Title or Position
Education
*
High School
Some College
College Degree
Graduate Degree
Major/Area of Specialty
Why are you interested in becoming a tutor for LVMC?
*
Related Experience (work, volunteer):
Interests, Skills, Other Languages Spoken (if any):
*
Referral Source
*
Library
Website
Newspaper
Special Event
Current LV Tutor
Employer
Volunteer Center
LVMC Yard Sign
Friend/Family
Poster/Flyer
Other
What times are you available for tutoring? (check all that apply)
*
Mornings
Afternoons
Evenings
Weekends
What type of tutoring are you looking for? (check all that apply)
*
Face-to-Face
Remote
Pair Tutoring (one student with one tutor)
Small group tutoring (3-7 students with one tutor)
What towns or libraries are you willing to travel to for tutoring sessions?
Are you willing to tutor math?
*
Yes
No
Literacy Volunteers will accept volunteers without regard to age, gender, color, national origin, religion, disability, political belief, sexual orientation, familial or veteran status. You will receive an email or phone call to confirm receipt of your application within one week.
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