New Volunteer Application

PLEASE REGISTER FOR A TUTOR TRAINING BEFORE FILLING OUT THIS APPLICATION. Click here to view our training schedule. 

Only fill out this application if you are a NEW VOLUNTEER and have not volunteered with us before. For more information about volunteering, go here, or contact us at info@foxvalleylit.org.

Click here to download a PDF copy of the application.

    Check all that apply:

    Basic Tutor Information:

    Name (Required)
    Preferred Name

    Date of Birth
    Gender

    Address
    City
    Zip Code

    Email Address
    Phone

    Emergency Contact Person
    Relationship
    Emergency Contact Phone

    Do we have permission to perform a background check? (using your name and date of birth)

    Employment Information:

    Please select one

    Employer
    Position

    Professional Experience

    Level of Education
    If college, please indicated major:

    Languages: Do you know any other languages?

    Please indicate if you speak, read, or write the language

    Availability for classes

    Do you want to tutor online, in person, or either?
    Are you comfortable tutoring any gender?

    Is it important to you that your student has had the COVID-19 vaccine?
    Please indicate which days of the week you are available and whether you are available in the morning, afternoon, or evening.

    How soon do you wish to begin tutoring?

    Is there any time of year that you are not available?

    Which of the following areas are you available to tutor in?

    Topics and Skills:

    Please indicate which subject areas you feel comfortable tutoring in
    Are there any other skills or subject areas you feel qualified to tutor? (eg. Business, Accounting)
    How did you learn about our program?

    I understand that:

    • If I use my personal vehicle in my volunteer services I will keep automobile liability insurance in effect and will not hold Fox Valley Literacy or anyone associated with in liable.
    • Fox Valley Literacy performs criminal background checks on all volunteers.

      Electronic Signature:
      Date:

      Date of orientation:
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