Tutor Intake Form

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Tutor Intake Form

Please fill out the form below to find out how to be a TUTOR through the Linn-Benton Community Literacy Partnership. Email linnbentonliteracy@gmail.com or call 541-730-3630 if you need help or have questions.

Email *

First Name *

Last Name *

Address *

City and Zip Code *

Phone Number *

Is this a cell / smart phone or a landline?

Cell phone / smartphone

Landline

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When contacting you, do you prefer phone calls, texts, or emails? *

Phone call by voice

Text to the cell/smart phone number I provided

Email to the address I provided

New tutor intake and training will take about 2-3 hours. I prefer to do my new tutor intake and training process *

In person (we will schedule a time with you)

Virtually (we will send you links to online training modules)

How did you hear about this program? *

Someone told me about it

I saw a poster or flyer

From a web search/ from the website

From my local library

Other:

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