NEIGHBORHOOD TUTORING PROGRAM VOLUNTEER APPLICATION
Please take a moment to fill out the following form and tell us about you!
Are you a: New Applicant Returning Volunteer
Work study students, do not use this form. Please send an email to: ntp@floc.org
Name:
Address:
City:
State:
Zip:
Phone:
E-mail:
Your age range: Select One 14-18 19-28 29-40 41-64 Over 64
How did you hear about us?: Select One Radio TV Newspaper Web Page FLOC Flyer Church/Temple Friend Other
If Friend or Other, please explain:
If radio station, newspaper, web page, flyer or TV, please name or location:
Please select a program time that works with your schedule: Select One Saturday AM 9:45-12:15 Saturday 1:15PM-3:45PM Mon/Wed 3:00PM-5:15PM Tuesday PM 5:45-8:15 Tues/Thurs 3:00PM-5:15PM Wed 5:45PM-8:15PM Friday 3:00PM-5:15PM
What position are you applying for?: Select One Tutor Tester
If you are a returning volunteer, please check the trainings you have attended.
Elementary Reading Wilson Reading Math Tester
Do you have any previous experience tutoring, mentoring or volunteering?
Yes No
If yes, please list:
Do you like working with children?
Please explain:
Why do you want to tutor with For Love of Children's Neighborhood Tutoring Program?
If selected, what strengths would you bring to the program?
Is there anthing that may hinder your commitment to NTP or to your student?
If yes, please explain:
*******Personal Information*******
What is the highest level of education you have completed?:
Select One Jr. High Sr. High BS/BA MS/MA Post Grad. Voc/Tech Training Other If other, explain:
Are you employed?
If yes, please select your employer type:
Select One Private Business District Government Federal Government Local Government State Government Self-employed Non-Profit Other If other, explain:
CONTACT IN CASE OF AN EMERGENCY:
1. Name:
Relationship: