Volunteer Information

Before you make the commitment to be an adult education volunteer, we would like to know a few things about you, so that we can place you in the right position. Please complete the form below and answer the following questions to help us give you the volunteer position you desire.

Today's Date:

Name:
Address:
Address:
City:
State:
ZIP Code:
Home Number:
Work Number:
Cell Number:
Email Address:

Employer:
Education:
High School \| Date Completed:
GED \| Date Completed:
College \| Date Completed:
Degree Acquired:
Other Educaton:

1. Realistically, please let us know how often you are available to volunteer:

Weekly	Monthly	Yearly	Occasional Basis

Are you available to make a commitment at least:
at least one hour per week		at least 4 hours per month

Are you available in the:
Mornings	Afternoons	Evenings	Weekends

2. Program, Interests and Specialties.

Which program do you prefer to work in?
ESL	GED	Literacy

What specific areas of interests or specialties?
Science	Math	English	Writing
ESL	Special Ed.	Computers	Graphic Design
Clerical	Other:

3. In your volunteer position, do you want to do the same thing you do at work:

Yes	No	Try something new
Something you use to do		Something you want to explore

4. What is your motivation for volunteering?

5. What group(s) would you prefer to work with?

Adults	Teens	Adults with Special Needs
Non-native adults learning English

6. Would you be comfortable working one-on-one as a tutor under the direction and guidelines of a classroom teacher?

Yes	No
Comments:

7. Would you have the transportation and ability to work anywhere in University City?

Yes	No
Comments:

8. What else would you be willing to do besides tutoring? Clerical work? Classroom assistance? Distribute flyers/posters/brochures? Other.

Clerical Work
Classroom Assistance
Distrbute Flyers/Posters/Brochures
Other:

9. What special skills or experience do you bring to volunteering?

10. What do you hope the rewards of this involvement will be?