Literacy Volunteer Application We look forward to working with you as a volunteer and providing you with the training you need for success. Using this form you can both complete your application or pay your materials fee. Please choose either or both and the appropriate fields will pop up. All items with a red * are required fields. PLEASE NOTE: if you are completing the application, you will not be able to save the form for later use so we recommend you review the questions before beginning. Once completed we will be in touch within 2 business days. Name* First Last Email* What is the Best Way to Reach You?* Home Phone Cell Phone Text Email What would you like to do?* Pay the Training Materials Fee Online Today Complete the Application Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone #1*Phone #2Languages Spoken*Please share any languages you speak, read, or write: Education Level*Please check the highest level of education you have completed. DoctorateMaster'sBachelor's DegreeAssociate's DegreeHigh School Diploma or EquivalentEmploymentAre you currently employed? YES NO Work ExperienceWhat type of work do you do or have you done? Employer Matching ProgramDoes your employer provide a matching fund program (either matching donations or matching volunteer hours with a company donation? ) YES NO Preferred Volunteer Activities*Which volunteer activity appeals to you? Please check all that apply. Outreach Committee Online Research Fundraiser Support Volunteer Additional SkillsDo you have moderate ability with any of the following: Word Excel Filemaker Pro Other Skills or Strengths You Can Contribute?Tutoring Preferences*Please check all that apply: I prefer one-to-one tutoring I prefer small group tutoring I am willing to tutor at our Watsonville classroom I am willing to tutor non-violent offenders Non-Violent Offenders Tutoring OptionsPlease check any of the locations you would be interested in tutoring at: One-on-one tutoring at Water St. Jail (both men and women) Small class at the women's jail in Santa Cruz Small class at the men's jain in Freedom Individuals on Probation Tutor Motivations:*Please share a few sentences about why you are interested in tutoring? Why did you choose the Literacy Program? Are there any specific goals or outcomes you would like to see as a result of the tutoring experience? Additional Literacy Program InterestsAside from tutoring we offer several ways to support the program and connect with fellow volunteers. Are you interested in: Attending a monthly tutor workshop Participating in our Human Race Walkathon Fundraiser Serving as a mentor to new tutors after you have completed 75 hours of tutoring How did you hear about the Program?*Please check all that apply: Website Social media Word of Mouth/ Friends Newspaper Flyer Other Ethnicity (Optional for data collection purposes only)For federal and state demographic purposes, please check the categories below (optional): AsianAfrican AmericanCaucasianLatino/LatinaPacific IslanderNative AmericanFilipinoOptional Age Information for Data Collection16-1819-2425-4445-5960+ Share this:
