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Thank you for your interest in volunteering.

Please review the duties and qualifications for DCLC Volunteer Tutors
here and apply for a free PA State Criminal Background Check here.
Fields marked with * are required.
Name *
Title
First Name
Last Name
Email *
Address *
Address Line 1
Address Line 2
City
State
Zip
Phone *
PERSONAL INFORMATION
1. Gender *
2. Ethnicity *
3. Date of Birth *  
Please TYPE the date MM/DD/YYYY. (Ignore the pop-up calendars.)
4. Labor Status
5. Occupation and Place of Employment
6 Does your employer have a matching gift program?
7 Have you had a felony or misdemeanor conviction? *
If you answered yes to Question 7 please explain
8. How did you hear about us? *
Other response for Question 8  
If you answered "Other" for Question 8 (How did you hear about us?), please explain here.
EDUCATION
1. Highest Educational Degree You Earned *
NOTE: Once you complete Tutor Training, DCLC will need a copy of your college diploma or transcript to comply with PA Dept of Education guidelines.
Other response to Question 1
2. Field of Study for your highest degree
3. School where you earned your highest degree
4 List any State Education Certifications you hold
5. List any other Certifications you hold
VOLUNTEERING INFORMATION
1. When are you available to tutor? *
Choose ALL that apply
2. Where can you tutor? List 2 or more *  
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
2b. Other tutoring location for Question 2
2c. Other tutoring location for Question 2
3. Details on your ability to tutor for 6 months *  
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? *  
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 
DCLC volunteers tutor EITHER an English as a Second Language (ESL) student OR an Adult Basic Education (ABE) student. To become an ESL tutor, answer Question 6, to become an ABE tutor, answer Question 7.
6. Upcoming ESL Tutor Training Sessions  
Select from this list only if you would like to become an ESL tutor. Please select only ONE training (must attend all sessions of the training). NOTE: ESL Tutor Training includes a 6-hour self-paced online training module to be completed between sessions.
5. Would you like to tutor an ESL or ABE student? *  
Please choose ONE and sign up for the same type of training below (ESL-Question 6; ABE-Question 7)
7. Upcoming ABE Tutor Training Sessions  
Select from this list only if you would like to become an ABE tutor. Please select only ONE training (must attend all sessions of the training). ABE Tutor Training includes assignments to be completed between sessions.
8. Media Consent *  
Please indicate if DCLC may use your name and image in its print and online publicity. Examples of using your name alone include volunteer lists and student success stories. Examples of using your image without your name would be group photos at events.
Emergency Contact Name *
Emergency Contact Phone Number *
Agreement and Signature *  
By typing my name above and submitting this application, I affirm the facts in it are true and complete, and I agree to comply with DCLC's Volunteer Duties. I understand that any misrepresentations on this form may result in my dismissal as a volunteer.
Date You Completed this Form *  
POLICY OF NONDISCRIMINATION: It is DCLC's policy to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Thank you for completing this application. We will contact you soon.