Volunteer tutor sign-up

Volunteer tutor form

Tutor Information

Last Name *

First Name *

Email Address *

Cell Phone *

Home Phone

Work Phone

What is the best way to contact you? *EmailCell PhoneHome PhoneWork Phone

Street Address *

City *

County *

Zip Code *

Date of Birth *

I identify my gender as *ManWomanGenderqueer/Non-BinaryOther

Other

Race/Ethnicity *AsianBlack/African AmericanHispanic/Latino(a)Native American/Native AlaskanWhite/CaucasianNative Hawaiian/other Pacific IslanderOther

Other

Native Language *

Availability – We make every effort to match you with someone with similar preferences.

What locations can you meet with a learner? *Tutors/Learners must meet in public locations such as online, libraries, businesses, churches, etc.

What days are you available to meet with a learner? *MondayTuesdayWednesdayThursdayFridaySaturdaySundayCheck all that apply

What times of day can you meet with a learner? *MorningAfternoonEveningSpecific times?Check all that apply

Are you flexible in the days and/or times you can meet? *YesNo

Would you be interested in tutoring online? *YesNoTraining for tutoring online would be provided.

Learner age preference: *AdultChildNo Preference

Learner gender preference: *MaleFemaleGender Queer/Non-BinaryNo Preference

Would you consider tutoring more than one learner? *YesNoThis would not be until after you have worked with one learner and are comfortable taking another learner.

How did you learn about Ozarks Literacy Council? *Poster/FlyerFacebookOzarks Literacy Council’s websiteInternet SearchTV/RadioFriend/FamilySchoolOther

Other

Consent for Background Check *

I give permission for Ozarks Literacy Council to conduct a Criminal background check by means of a personal identifier search (name-based) which searches information based on the individual’s name and date of birth. The fee for this background check is paid through the generosity of Ozarks Literacy Council donors.

Submit *

By clicking the submit button below I give permission for Ozarks Literacy Council to use the information on my registration form for placement purposes and for statistical and grant/financial applications. I understand that my name and address will not be released to other people, businesses, or agencies without my written permission.

Ozarks Literacy Council is a 501(c)(3) non-profit organization promoting literacy by providing free resources and services to adults and children in Southwest Missouri since 1968.

Ozarks Literacy Council is a Proud Partner of The United Way of the Ozarks.

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Contact

(417) 380-8976 info@ozarksliteracy.org

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900 North Benton Ave,
#305 Lay Hall.
Springfield, MO 65802

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