LVK Volunteer Application - Literacy Volunteers of Kennebec

Full Name *

Phone *

Email Address *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

County *

I Identify My Gender As: *

My Preferred Pronouns Are: *

Access to Transportation? *

Are You Willing to Travel? *

Occupation

Employment Status *

Highest Level of Education *

Work History

Work History *Please describe your work history or attach your resume instead

Volunteer History *Please describe any volunteer activities you are or have been involved in

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No file chosen

Teaching Experience

Teaching experience is not required

Have You Taught Before? *

Teaching Certificate(s)

Are You ELL (English Language Learners) Certified? *

Certification Date

Describe Teaching/Tutoring Experience

Describe ELL Teaching Experience

Are You Trained or Certified as a Literacy Volunteer Tutor? *

If yes, when?

Volunteer Interests, Preferences, and Roles

Please indicate your comfort level working with adults at the following levels. *A beginning basic reader (Grades 1-3)An intermediate reader (Grades 4-8)A secondary education reader (Grades 9-12)A student entering college needing skill developmentAn English Language LearnerA learner with a learning disability (diagnosed or not)No PreferenceYou may select all that apply:

Do You Have Any Gender Preference For Your Learner Match? *

Availability

How Did You Find Out About Literacy Volunteers?

Other Comments

Emergency Contact Name

Emergency Contact Phone Number

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