Volunteer Tutor Application
Humboldt Literacy Project welcomes you! Remember, the more you tell us about yourself, the better a match we can make you, and the richer your tutoring experience will be. All your information is confidential. We share anonymous demographic data with our bosses at the California State Library. Thank you!
Sign in to Google to save your progress. Learn more
Email *
Today's Date *
First Name *
Last Name
Phone Number
*
House Number and Street *
City *
State *
Zip Code *
What is your mailing address if it's different from your physical residence?
What is your date of birth? (You must be 18+ to volunteer.) *
Best time of day to reach you by phone? *
In what cities or areas are available to volunteer? (Please only include areas that you ALREADY frequent at least once every week.) *
What is your ethnicity? (This helps some of our partners and grantors understand our program better.) *
What is your ancestry/ race?
*
What is your gender? *
Do you speak/ read/ write any languages besides English?
Have you been a literacy tutor before?
Clear selection
Which kind of Learners are you interested in helping? (Please select all that apply)
Would you like to add any comments about any of the above choices you made?
Why do you want to help someone with reading and writing?
Do you have a free Humboldt County Library card? *
When are you most available to volunteer? *
Re: Covid safety, check all that apply:
Do you have any conditions or circumstances that may affect volunteering?
Are you interested in volunteering in other areas?
Do you have/use... (please check all that apply)
How do you get around town?
Please briefly describe your educational background.
Please briefly describe your employment background.
What do you do for fun?
Skills/ experience you expect to bring to tutoring?
Is there anything else you would like us to know about you?
How did you hear about HLP?
Please name up to 3 non-related local references (with contact information) that we may call to learn more about you. *
We are going to perform a background check on you. Is there anything you'd like to say about what we might find?
Emergency Contact *
Have you read, understood, and agreed with the Job Description and Confidentiality Agreement,  your Rights, and your Responsibilities? Contact us if you have questions or concerns. *
 Will you release Humboldt Literacy Project from any liability or claim that you may have with respect to injury, illness, death, or damage. This release is intended to be as broad and inclusive as permitted by the laws of the State of California and shall be governed by and interpreted in accordance with the laws of the State of California. *
Have you mailed or emailed us a scan of your Drivers License or Passport to LiteracyHelpers@gmail.com? *
Thank you! Go ahead and call us at (707) 445-3655 or email us at holtenhlp@gmail.com, and we will invite you to our next orientation for volunteer tutors.
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report