Volunteer Sign Up

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Volunteer Sign Up

Please fill out this form to if you would like to be considered for out team of highly motivated volunteers. We will contact you once we have received your information. If you have any questions, please reach out to emersonallen@learn-with-us.com.

General Information

Full Name *

Email Address *

Phone Number *

Location *

Birthdate (MM/DD/YY) *

School Name *

Year in School (ex: 9th grade, college junior) *

How did you hear about us? *

Please provide your current course load and any academic qualifications. *

Please provide a link to a pdf of your transcript (may be unofficial). *

Please provide a link to a pdf of your resume (optional for high school students). *

Legal Questions

Have you ever been convicted of a felony or a misdemeanor or is any such charge now pending against you?
*

Yes

Have you ever been subjected to dismissal, suspension, probation or other disciplinary or academic sanction by any college or university or professional school?
*

Yes

If you are 18 or older, do you agree to us conducting a background check on you?
*

A background check is required to become a LWU tutor if you are 18 or older.

N/A, I am younger than 18.

Yes, I consent.

No, I do not consent.

Referrals

In order to be considered a tutor, you must have two non-family referrals: one from a peer and one from a professor or employer. Please choose individuals who know you well. Your referrals will receive a brief email asking if they recommend you as a tutor.

Peer Referral: Name *

Peer Referral: Email *

Professor / Employer Referral: Name *

Professor / Employer Referral: Email *

Short Response Question

Why are you interested in becoming a volunteer tutor? Please share what you can offer to the program, and what you hope to gain as a volunteer. *

Submit

Clear form

Never submit passwords through Google Forms.

Forms

This content is neither created nor endorsed by Google.