Tutor Application Form Tutor/Volunteer Application Form Step 1 of 4 25% Name* First Last Email* Best phone number for you*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Location*City of Santa FeCounty of Santa FeOutside Santa Fe CountyDate of Birth* Date Format: MM slash DD slash YYYY Place of Birth*GenderMaleFemaleEmployment Status*Full-TimePart-TimeRetiredUnemployed-Seeking WorkUnemployed- Not Seeking WorkHomemakerDisabledEthnic GroupAmerican-Indian/Alaskan NativeAsianNative Hawaiians or Pacific IslanderBlack (non-Hispanic)White (non-Hispanic)HispanicOther Source of Referral(please check all that apply) Santa Fe Community College TV Radio Friend/Family Employer Library Special Event Poster/Flyer Newspaper Telephone Book Website NMCL Other Volunteer Opportunities(Check any of interest) Tutor for Basic Literacy Program Tutor for English as a Second Language Accounting Public Relations/Marketing Office Help Grant Writing Assistance Legislative Advocacy Assist Teaching Students Public Speaking Web design Fundraising Board Member Other Occupation (or former)Occupation Location (City, State)Dates of OccupationDo you have experience in the following areas?(Please check all that apply) Computer Skills Fundraising Leadership or Training EducationPlease List All Your Degrees and/or Highest Grade Completed, Dates and PlacesDo you speak any languages other than English?What are the main reasons why you want to become a Tutor/Volunteer?Is there anything else you would like for us to know about you? Emergency Contact* First Last Emergency Contact Phone Number*Please feel free to attach your resume here.Accepted file types: pdf, doc, docx.
