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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Location* City of Santa Fe County of Santa Fe Outside Santa Fe County Date of Birth* Place of Birth*Gender Male Female Employment Status* Full-Time Part-Time Retired Unemployed-Seeking Work Unemployed- Not Seeking Work Homemaker Disabled Ethnic Group American-Indian/Alaskan Native Asian Native Hawaiians or Pacific Islander Black (non-Hispanic) White (non-Hispanic) Hispanic Other 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, Max. file size: 1 GB.
