EmailMe Form - Volunteer Tutor Application Form

Free Military Child Tutoring- They Are Heroes Too!

Thank you for your interest in becoming a volunteer tutor with Free Military Child Tutoring- They Are Heroes Too! Please complete this application and click on the submit button when your finished.

Children are tutored either one on one or small group in one hour sessions. You can volunteer as little as an hour a week.

The information on this form will only be used in connection with the work of the Free Military Child Tutoring- They Are Heroes Too! Program and will only be accessible to the program coordinator. Submission of this application does not guarantee selection or participation in the Free Military Child Tutoring- They Are Heroes Too! Program.

Which Category Describes You? *

Contact Information

First Name *

Middle Name

Last Name *

Address *

Address (Line 2)

City *

State

ZIP Code *

Home Phone *

### - ### - ####

Work Phone

### - ### - ####

Cell
Phone

### - ### - ####

Email

Education and Background Information

Gender

Male

Female

Date of Birth

MM / DD / YYYY

Do You Speak Another Language?

Yes

No

If Yes, What Language?

Highest Education Level Completed

Educational Background

Occupation

Organizations to which you belong

Have you ever volunteered for any other organizations? If so, when and where?

Have you ever been convicted a crime?

How did you hear about Free Military Child Tutoring-They Are Heroes Too!

Do you have reliable transportation *

Yes

No

Prefences and Availability:

Grade Level and Subject Area:

Reading

1-3

4-5

6-8

Math

1-3

4-5

6-8

Which day(s) of the week would you prefer to tutor?

Monday

Tuesday

Wednesday

Thursday

Which time(s) of the day would you prefer to tutor?

9am-12pm

1pm-4pm

Comments on Availability

By electornically signing this document, I certify that the information stated in this volunteer tutor application is true to the best of my knowledge.

Electronic Signature *

Date of Application *

MM / DD / YYYY

Free Military Child Tutoring- They Are Heroes Too!

Contact Information

Education and Background Information

Prefences and Availability: Grade Level and Subject Area:

By electornically signing this document, I certify that the information stated in this volunteer tutor application is true to the best of my knowledge.

Prefences and Availability:

Grade Level and Subject Area: