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Volunteer Form
Submitted by Administrator on July 2, 2010 - 21:55
Please complete the form below, and our Volunteer Coordinator will contact you.
Name:
*
Address:
City:
State:
Home Phone:
*
Work Phone:
Email Address:
*
Which of the following volunteer opportunities interests you?:
ESL Classroom Assistant (working with adults)
ESL Small Group Teacher (working with adults)
Childcare Assistant (working with preschoolers)
Bilingual Assistant (working with adults or children)
Teaching Assistant (working with school-aged children)
Office Support
Computer Support
Fund-raising
Other opportunities that interest you::
Why do you want to volunteer at ReWA:
*
Please describe any teaching/tutoring experience you have had.:
What other skills or experiences do you possess that might be useful as a ReWA volunteer?:
*
Languages spoken or studied .:
*
Availability Monday:
Availability Tuesday:
Availability Wednesday:
Availability Thursday:
Availability Friday:
Number of hours per week:
Minimum time commitment in number of months:
Have you had any ESL training? When and where? :
Have you ever been convicted of a crime? Explain.:
*
Volunteer Profile:
Female
Male
Education Completed:
Grade 9-11
High School. Diploma
GED
Some College
2-year Degree
4-year Degree
Graduate Degree
Employment Status:
Student
Employed
Unemployed, Seeking Work
Not Seeking Work
Profession/Occupation:
Referral Source:
Court/Probation
Employer/School
Library
Newspaper
Poster/Sign/Flyer
TV/ Radio
WA State Literacy Hotline
Other Literacy Program
Word-of-mouth
Other