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JCLC Volunteer Registration
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First Name
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Your answer
Last name
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Your answer
Date
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DD
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YYYY
Address
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Your answer
City/ZIP
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Your answer
Home Phone
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Your answer
Cell Phone
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E-mail:
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Gender
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Date of Birth
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I heard about the Literacy Council from:
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Your answer
I think my greatest contribution to JCLC will be:
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(Consider your special skills, hobbies, experiences):
Your answer
Please indicate a time you would be available for a meet and greet with JCLC staff:
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Morning
Afternoon
Evening
Interest Areas: English as a Second Language:
1-to-1 Tutor
Small group tutor
US Citizenship/Civics Tutor
Interest Areas: Basic Skills
(with a native English speaker):
1-to-1 Tutor for reading
1-to-1 Tutor for writing
1-to-1 Tutor for math
1-to-1 Tutor for pre-GED
Interest Areas: Other
Board of Directors
Fundraising
Location Preference:
*
Jefferson
Watertown
Fort Atkinson
Waterloo
Lake Mills
Johnson Creek
Virtual only
Other:
Required
Availability:
*
Morning
Afternoon
Evening
Required
Notes:
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I speak the following languages:
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Your answer
Other volunteer experiences:
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Your answer
Education Level Completed:
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Your answer
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