Cancel Preloader
Follow Us On:
Facebook-f
Instagram
Linkedin-in
Home
About Us
Contact Us
Who We Are
Our Team
Financials
Our Partners
Testimonials
Become a Student
Become a Student
Student Application
Student Information & Expectations
Student Resources
Community Resources
Become a Volunteer
Become a Tutor
Tutor Application
Tutor FAQs & Expectations
Additional Volunteer Opportunities
Tutor Resources
Report Hours
Tutor Resources
Lesson Planning Tips & Ideas
Community Resources
Events
Upcoming Training
Upcoming Events
Past Events
Home
About Us
Contact Us
Who We Are
Our Team
Financials
Our Partners
Testimonials
Become a Student
Become a Student
Student Application
Student Information & Expectations
Student Resources
Community Resources
Become a Volunteer
Become a Tutor
Tutor Application
Tutor FAQs & Expectations
Additional Volunteer Opportunities
Tutor Resources
Report Hours
Tutor Resources
Lesson Planning Tips & Ideas
Community Resources
Events
Upcoming Training
Upcoming Events
Past Events
Donate
Student Application
Home
Student Application
For more information on the application process, please visit the
Become a Student Page
.
Become A Student Application Form
Step
1
of
2
50%
STUDENT INFORMATION - (We will share your information only with your tutor)
Full Name of Student
*
Do You Have a Preferred Name or Nickname?
*
Have you been a student in our program before?
Your Date of Birth (mm/dd/yyyy)
*
Birthplace
*
Ethnic Group (check all that apply)
Native American
Asian
Black
White
Hispanic
Other
Other Ethnic Group
*
Gender
*
Male
Female
Other
Address
*
Street Address
City
State
Zip Code
Cell Number
*
Email Address
Please tell us the best time to contact you:
*
Name, Phone Number and Email of English speaking contact
PERSONAL INFORMATION
Employment Status
*
Full Time
Part Time
Unemployed
Retired
Seeking Employment
Job Title
Employer
Do you have additional jobs?
*
Yes
No
Marital Status
*
Single
Married
Divorced
Widowed
Do you have any children?
*
Yes
No
List children ages
Housing
Own
Rent
Live with Family/Friends
Homeless
Other
How long have you lived in the United States?
I was born in the US
Less than 1 year
2-5 years
5-10 years
More than 10 years
How long do you plan to stay in the United States?
Less than 1 year
1-2 years
2-5 years
Forever
Unknown
Household Income
Less than $26,600
$26,600-$68,000
More than $68,000
BACKGROUND
Education Level You Have Completed
Less than 12th Grade
High School Diploma
Some College
College Degree
Graduate Degree
What was your field of study?
Last Grade Completed:
Have you been diagnosed with a learning disability?
Yes
No
Please explain:
*
Goal
AVAILABILITY
Please indicate all times that you are available for tutoring
Monday
Morning
Early Afternoon
Late Afternoon
Evening
Tuesday
Morning
Early Afternoon
Late Afternoon
Evening
Wednesday
Morning
Early Afternoon
Late Afternoon
Evening
Thursday
Morning
Early Afternoon
Late Afternoon
Evening
Friday
Morning
Early Afternoon
Late Afternoon
Evening
Saturday
Morning
Early Afternoon
Late Afternoon
Evening
Sunday
Morning
Early Afternoon
Late Afternoon
Evening
Tutor Preference
Male
Female
No Preference
Class Preference (Check all that apply)
Remote 1-1 tutoring
Remote classroom tutoring
Face to Face 1-1 tutoring
Face to Face classroom tutoring
No preference
For in-person tutoring, please list the libraries/towns/cities in your area where you can meet?
How will you get to class? (check all that apply)
Walk
Drive
Get a ride
Bus
Train
Why do you want to join the program? (Check all that apply)
*
For my job/to find a job
To get my high school diploma
To help my child/children with school
To read and fill out important forms, labels, schedules, etc.
To use a computer/the internet
To become a U.S. Citizen
Other goals and interests
What do you want a tutor to help you with the most?
What is the hardest thing for you to do in English? (Example, talking on the phone or understanding other people)
Do you have any hobbies? What do you like to do in your free time?
Other goals and interests
How did you hear about us?
*
Friend/Family
Employer
Library
Poster
Special Event
Search Engine
Website
Other
To get started, we will need to speak with you and assess your level
*
I prefer a phone call
I prefer to have a Zoom appointment.
I prefer to have an in-person appointment at LVMC in Morristown.
Interview Preferences
I can speak with someone in English.
I need to speak with someone in Spanish.
Please call my English-speaking contact to set up my appointment.
Additional comments/writing sample:
CAPTCHA - please click here
Student Information & Expectations
*
I have read and agree to follow the LVMC student information and expectations on our website.
https://www.lvmorris.org/student-information/
Important
Click Submit. After you click SUBMIT, you should get the message "Thank you for submitting the Student Application Form." If you don't see this message, you may need to check for errors and click submit again.
Please note that we have a high volume of applications and will contact you 2-3 weeks after we receive your application. If you have any questions, please call our office at 973-984-1998.
Untitled
