2021-22 Volunteer Application

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FLOC accepts volunteer applications on a rolling basis throughout the school year. Please use the link below to submit your background check https://www.coeusglobal.com/council_dc_floc

We ask for a time commitment of 2 hours per week for 28 weeks during the school year (September-May).
FLOC is located in Washington DC and all program times are in Eastern Standard Time.
The 2021-2022 school year will run from September 21st, 2021 - May 21st, 2022. (ALL programs are Virtual and connect on the Zoom platform) Spring Semester: January 18th - May 21st

Email *

First Name *

Last Name *

Mobile Number *

Preferred contact method *

Phone

Required

Are you a new or returning volunteer? *

New

Returning

Please choose the program/s you are interested in volunteering (ALL programs have curriculum that volunteers are trained to use and guide students through at the student's pace) *

Math tutor (Tutors work 1:1 with a student once per week for the duration of the program)

Reading tutor (Tutors work 1:1 with a student once per week for the duration of the program)

PSAT SAT prep (Tutors work with a small group of 3 students once per week for the duration of the program)

College Coaching (Coaches work 1:1 with a high school junior or senior once per week for the duration of the program)

Required

Please choose a program slot that you are available to volunteer. Only choose one time slot per program that you are interested in participating. *

Reading-Tuesdays 6:00-8:00pm

Reading-Saturdays 1:30-3:30pm

Math-Thursdays 6:00-8:00pm

Math-Saturdays 10:00-12:00pm

PSAT SAT Prep- Tuesdays 5:30-7:30pm

College Coaching- Thursdays 5:30-7:30pm

Required

Date of birth *

YYYY

Street Address *

Apt. Number (put NA if not applicable) *

City *

State *

Zip Code *

Gender *

Female

Male

Non-Binary

Race/Ethnicity *

African American or Black

Caucasian

Asian or Pacific Islander

Latino or Hispanic

Multi-Racial

Native American

Other

What is the highest level of education you have completed? *

High School

Technical School

College/University

Graduate School

Doctorate

If you are currently in college/university, please list the school you attend *

Please list you employment status *

Full Time

Part Time

Student

Self Employed

Retired

Unemployed

Please list name of employer *

Emergency Contact (Full Name) *

Relationship *

Parent/Guardian

Spouse/Significant Other

Relative

Friend

Emergency contact phone number *

How did you hear about FLOC? *

Internet

Volunteer/Career Fair

DC Tutoring and Mentoring Initiative

Mentor DC/MD

Volunteer Match

Place of worship

Employer

Social Media

Other (if other please list in next section)

If other, please specify

Does FLOC have permission to take photos/screenshots of you for use in marketing of services and or fundraising? *

Yes

Does FLOC have permission to use your first name with pictures/videos? *

Yes

I agree that I (volunteer) will not take photos of/with my student/s *

I understand and agree

I do not agree

Required

I am over the age of 18 *

Yes (ALL volunteers must complete the background check)

No (Tutors must be at least 16 years of age and must submit an additional minor consent form; please submit application and email rando@floc.org for consent form)

I acknowledge that my full name and initials serve as my agreement to this application. (Please type full name and initials. ex.) Maya Angelou M.A. *

Send me a copy of my responses.

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