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Volunteer Application
Help Promote Literacy in Kosciusko County, Be a Volunteer Tutor for Adult Students
Email address *
Today's date *
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First Name *
Your answer
Last Name *
Your answer
email Address
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone Number *
Your answer
Cell Phone if Different from Home Phone
Your answer
Work Phone
Your answer
May KLS call your work phone?
Have you ever been convicted of a felony? *
Date of Birth
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Sex
Do you have any medical conditions of which KLS should be aware?
Your answer
What time of day are you available to tutor? *
What is your highest education level?
Do you have previous tutoring experience.
If yes, please describe prior tutoring experience.
Your answer
Please indicate areas in which you are willing to volunteer. Please check all that apply. *
Required
Do you have a student preference? *
Please provide the names and contact information (emails and phone numbers) for two references. KLS does call the references. *
Your answer
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