CCC VIRTUAL VOLUNTEER FORM
As a community, we need as many medical professionals as possible working to fight the COVID-19 pandemic. In light of school and daycare closures across the country, many hospital staff are forced to choose between going to work and taking care of their children.

We need your help relieving the massive strain on our medical professionals. Please sign up below if you are willing and able to be a volunteer virtual tutor!

If you have any questions, concerns, or suggestions, feel free to contact us at desert.mwc@gmail.com or visit our website covid-childcare.org
Full Name: *
Phone number: *
Email: *
Location: (Example: Chicago, IL) *
Availability: (Example: Mondays 6am-9pm, Saturday and Sunday 9am-4pm etc.) *
Age: *
Current school/occupation: *
Prior Tutoring Experience (okay if none): *
Do you speak any languages besides English?
Grades levels that you are comfortable tutoring (e.g. 4th-12th) *
How did you hear about us? *
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