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2. Apply

4. First Name
5. Last Name
7. Address
9. City
10. State
11. Zip Code
13. Phone Number
14. Email Address
16. How did you hear about Literacy Services?

    1. An adult learner
    2. A co-worker
    3. Another volunteer
    4. Radio/TV
    5. Newspapers/magazines
    6. Library
    7. Church/community organization
    8. Other
17. Other

    Please describe

19. Present employer (if applicable)
20. Occupation/position
22. Education background:

    1. GED
    2. High school diploma
    3. Business/technical school
    4. Associates Degree
    5. Bachelors Degree
    6. Masters Degree
    7. Doctorate

    Select highest level completed

24. From which college/university did you graduate (if applicable)?
26. Specialized courses or skills (please list)
28. Do you have prior teaching experience? If so, please describe:
30. Why are you interested in tutoring?
32. Please list any other volunteer work.
34. Can you make a one-year commitment to this program after tutor training?

    1. Yes
    2. No
36. Would you like to volunteer in the Literacy Services office on occasion?

    1. Yes
    2. No

38. Optional Information

    We use the following information for statistics. Completion of this section is optional.

40. Gender
42. Age

    1. 16 to 19
    2. 20 to 29
    3. 30 to 39
    4. 40 to 49
    5. 50 to 59
    6. 60 to 69
    7. 70 to 79
    8. 80 and up
44. Ethnic background

    1. Asian
    2. African American
    3. Latinx
    4. American Indian/Native Hawaiian/First Nations
    5. White
    6. Other
46. Describe your ethnic background
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field