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Volunteer Tutor Application

Thank you for your interest in the Nashville Adult Literacy Council. Please take a few minutes to fill out the form below. The information provided is confidential and will only be used for NALC business. Your contact and personal information will not be given to any second parties.

General Information

First Name:
Last Name:
Home Address:
City:
State:
Zip:
Home Phone:
Mobile Phone:
Personal Email:
Contact me at home:

Do you know your state or local districts?

State:
Local:
Not Sure:

Demographic Information

Gender:
Date of Birth:
Ethnicity:
Highest Level of Education:
Field of Study:
Other Languages:
Other Certifications:

Employment Information

Employer Name:
Job Title:
Employer Address:
City:
State:
Zip Code:
Work Phone:
Fax:
Work Email:
Contact me at work:

I am interested in working for the:

I am interested in working with:

Please check the times which you are available to tutor:

Mon Tues Wed Thur Fri Sat Sun
Morning
Day
Evening

Please provide us with your location Preferences: (ie - Madison/Mornings or Bellevue/Evenings)
1st Choice: Time:
2nd Choice: Time:

How did you hear about our program?
Newspaper, Radio, TV, PSA Handout, Mailing, Brochure Sign, Billboard, Ad
Phonebook/Yellow Pages Relative, Friend, Associate Employer
School/Institution/Library United Way Church
Adult Literacy Speaker St. Luke's Community House Adult Literacy Poster
NALC Website NALC Bathroom Ad Other Agency

Would you be willing to work with someone who was in a drug or alcohol rehabilitation program?

Would you be willing to work with someone on probation or parole?

I will help or would like to find out more about:
Training New Tutors Special Events Board Service
Volunteer Recruitment Fundraising Computers - Office Networking and Support
Office / Administrative Public Speaking

Why do you want to volunteer for the Nashville Adult Literacy Council?


How did you hear about the program? (Please let us know if it was a friend or family member.)


Please list any previous teaching experience - please note that teaching experience is not required!! (ie - school, church, corporate training, etc.)

Emergency Contact

Name:
Address:
City:
State:
Zip:
Phone:
Relationship:

Learning to read or speak English takes time, so we ask for a six-month commitment from both you and your student. If you can help defray our book costs, please offer to purchase tutor manuals. Safety is very important to us. We ask that you meet your learner at a mutually agreed-upon public location approved by the program. Never tutor at your home or in the home of the learner. Never transport your learner.