Volunteer Application
First Name *
Your answer
Last Name *
Your answer
Street Address *
example: 123 Reading Road
Your answer
City *
Your answer
Zip Code *
Your answer
Primary Phone Number *
Your answer
Secondary Phone Number
Your answer
Email Address *
Your answer
Date of Birth *
Your answer
Gender *
Required
Highest Level of Education *
Please describe any health concerns
Your answer
Please explain any criminal convictions
Your answer
Tutoring Preferences
Preferred Student Type
Preferred Location for Tutoring
Availability (When is best for you to volunteer?) *
Check all that apply
Required
Referral Source
(How did you hear about the CLC?)
Tutor Agreement
I understand that all tutoring sponsored through the Community Literacy Council, Inc. must be held in a public location. I understand that my commitment to tutoring is for at least 2 hours per week for 12 months, unless otherwise specified. I affirm by my signature below that all of the information stated above is true and accurate to the best of my knowledge.
Type name below to accept terms of agreement *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Plymouth-Canton Community Literacy Council. Report Abuse - Terms of Service - Additional Terms