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First name

Last name

Email

Phone 1-000-000-0000

Address

Note: This information is requested for our funding and is helpful in placing you with a student.

Birthday

Month

Day

Year

Place of Employment

Occupation

Special Skills/Interests/Hobbies

Fields of experience

Languages Spoken

Community Involvement (clubs, organizations, groups, etc., what you belong to or participate in

Please indicate your preferred days and times (morning, afternoon, evening) you would like to volunteer.

Have you ever been convicted of a felony charge? If yes, please explain.

Based on your reading experience and your interactions with people, what do you think are some important considerations when tutoring adults?

Our adult students have a variety of learning needs and interests. Please check all areas in which you are interested in tutoring:

Adult Basic Literacy

Adult Secondary Education (High School Equivalency Preparation)

English for Speakers of Other Languages (ESoL)

Mathematics

Driver's License Preparation

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