Fillable The Literacy Program Volunteer Application (City of Azusa)

Fill Online, Printable, Fillable, Blank The Literacy Program Volunteer Application (City of Azusa) Form

Use Fill to complete blank online CITY OF AZUSA (CA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

The Literacy Program Volunteer Application (City of Azusa)

On average this form takes 21 minutes to complete

The The Literacy Program Volunteer Application (City of Azusa) form is 2 pages long and contains:

  • 0 signatures
  • 46 check-boxes
  • 64 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Azusa

BROWSE CITY OF AZUSA (CA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
The Literacy Program Volunteer Application
Name: _________________________________________________ Date: ____________________
Address: _________________________________________________________________________
City: ___________________________________ State: _________ Zip Code: _________________
Home Telephone: ( ) __ ___ Cellular: ( ) ___
_______
Email: __________________________________________________________________________
1. How did you hear about this volunteer opportunity?
□ family or friend □ co-worker □ church/community organization
□ newspaper □ city cable channel □ other: _____________________
2. Please list which volunteer tutor opportunities you are interested in:
□ basic reading/writing □ English as a Second Language □ citizenship coach
3. What languages do you speak? _____________________________________________________
Please note that a second language IS NOT a requirement to tutor English.
4. Why are you interested in becoming a volunteer tutor? _______________________________
_______________________________________________________________________________
_______________________________________________________________________________
5. Do you have teaching or tutoring experience? If yes, please describe that experience.
_______________________________________________________________________________
_______________________________________________________________________________
6. What do you hope to gain from this volunteer experience? ________________________________
_______________________________________________________________________________
_______________________________________________________________________________
7. Are you volunteering to fulfill a requirement? __ yes __ no If yes, what is the requirement?
_______________________________________________________________________________
8. Do you have any student preferences? □ Male □ Female □ No Preference
□ Other Preferences: ____________________________
9. Name of Employer (if applicable): ____________________________________________________
Does your employer have an employee volunteer program? ___ yes ___ no
Does your employer have a community contributions program? ___ yes ___ no
For Office Use:
__Basic Literacy
__ Grassroots ESL
__ Citizenship Coach
__ Other
10. Please list two references we may contact regarding your becoming a volunteer with us:
Name: _______________________________ Phone: __________ Email: ____________________
Name: _______________________________ Phone: __________ Email: ____________________
Demographic Information:
Age:
Gender:
Racial/Ethnic Group:
Education Completed:
Employment:
□ 16-19
□ 20-29
□ 30-39
□ 40-49
□ 50-59
□ 60-69
□ 70+
Birthdate:
□ Male
□ Female
_________
□ Asian
□ Black
□ Latino
□ Native American
□ Pacific Islander
□ White
□ Other
□ less than 9
th
grade
□ high school, no diploma
□ high school diploma
□ GED
□ some college, no degree
□ Associate’s Degree
□ Bachelor’s Degree
□ Master’s Degree
□ full time
□ part time
□ unemployed
□ retired
□ on disability
□ other
Tutor Placement Information
What days and times are you available for tutoring? Mark an x in all boxes in which you are available.
Mon
Tues
Wed
Thur
Fri
Sat
Comments: ________________________________________________________________________
__________________________________________________________________________________
For our Grassroots ESL program which sites are you available to tutor?
__Azusa City Library __Azusa High School __Azusa Apartments __Dalton Elementary __Lee School
__Neighborhood Homework House
For Office Use
Tutor Training Date: __________________
Tutor Start Date: _____________________ End Date: ________________________
Reason for Leaving: _____________________________________________________________________
______________________________________________________________________________________
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

The Literacy Program Volunteer Application (City of Azusa)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 15 January 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document