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Thank you for your interest in volunteering. To learn more, please read https://delcoliteracy.org/volunteer and apply for a free PA State Criminal Background Check at https://epatch.state.pa.us.
Name
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Dr.
Miss
Mr.
Mrs.
Ms.
Reverend
Sister
Title
First Name
Last Name
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One Time
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Title is not required.
Email
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Address
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Address Line 1
Address Line 2
City
State
Zip
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Phone
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PERSONAL INFORMATION
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PERSONAL INFORMATION
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One Time
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1. Gender
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Male
Female
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One Time
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2. Ethnicity
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White/Other
Black
Hispanic
Asian
Pacific Islander
Native American
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3. Date of Birth
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$
$
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4. Labor Status
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Retired
Employed
Unemployed
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5. Occupation and Place of Employment
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6 Does your employer have a matching gift program?
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Yes
No
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7 Have you had a felony or misdemeanor conviction?
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Yes
No
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If you answered yes to Question 7 please explain
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8. How did you hear about us?
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Banner
Library
Friend
Internet
Other (please describe below)
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Other response for Question 8
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If you answered "Other" for Question 8 (How did you hear about us?), please explain here.
EDUCATION
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EDUCATION
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1. Highest Educational Degree You Earned
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High School Diploma or equivalent
Associate Degree
Bachelor Degree
Master Degree
Doctorate Degree
Other (please describe below)
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Other response to Question 1
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$
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One Time
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2. Field of Study for your highest degree
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$
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3. School where you earned your highest degree
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$
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4 List any State Education Certifications you hold
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$
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5. List any other Certifications you hold
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$
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VOLUNTEERING INFORMATION
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VOLUNTEERING INFORMATION
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1. When are you available to tutor?
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Evenings
Daytime
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Choose ALL that apply
2. Where can you tutor? List 2 or more
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Chester (area of great need)
Upper Darby (area of great need)
Other (please list below)
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One Time
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Choose at least two locations (including the "Other" locations below) where you would be willing to tutor. Remember tutoring must occur in a public place, such as a local library.
2a. Other tutoring location for Question 2
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$
$
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2b. Other tutoring location for Question 2
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$
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2c. Other tutoring location for Question 2
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$
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One Time
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3. Details on your ability to tutor for 6 months
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$
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Volunteer tutors are asked to commit to at least 6 months of tutoring, twice a week. Please describe anything that would prevent you from tutoring regularly in the next 6 to 12 months.
4. What interests you about volunteering?
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Recurring
Briefly describe what interests you about becoming a volunteer literacy tutor and any experience or special skills relevant to tutoring.
Choose ESL or ABE Tutoring
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