Volunteer Application Form

Fill out the following form with all of the pertinent information then click the submit button at the bottom and we will contact as soon as possible. Or click here for a printable version fill it out and mail it to us or drop it by the address listed at the bottom.
Date      
Name
Home Phone Cell Phone
Work Phone
Address
 
City
State
Zip Code
-
Email How Often Do You Check It?
WHAT IS THE BEST METHOD AND TIME TO REACH YOU?
IF YOU ARE CURRENTLY EMPLOYED, PLEASE LIST EMPLOYER, POSITION, AND DAYS
HOW DID YOU HEAR ABOUT OUR PROGRAM?
WHY DO YOU WISH TO VOLUNTEER? WHAT BENEFITS OR GOALS DO YOU WISH TO GAIN?
LIST ANY CURRENT OR PREVIOUS VOLUNTEER EXPERIENCE, INCLUDING MEMBERSHIP IN COMMUNITY OR SERVICE CLUBS:
CAN YOU SPEAK ANY LANGUAGES OTHER THAN ENGLISH? HOW DO YOU RATE YOUR PROFICIENCY?
SKILLS, HOBBIES, SPECIAL INTERESTS, OR TRAVEL EXPERIENCE :
 
HOW DO YOU WISH TO CONTRIBUTE YOUR TIME AND /OR RESOURCES TO OUR PROGRAM? (Please check ALL that apply)
Tutoring
Fund Raising  
Carpentry
Grant Writing  
Research
Computer/Typing  
Graphics/Design
Reading Books On Tape
Publicity
Organizing MCL's Library
Public Speaking
Record Keeping/Statistics
General Office Work
Written or Spoken Translation
Childcare
Special Events  
Test Proctor
Tech Support
Reading to Children Other
         
WHAT AGE GROUP DO YOU PREFER TO TUTOR ?   Both


IF TUTORING IS YOUR CHOICE, CHECK ALL AREAS OF INTEREST:
         
Reading
GED Test Preparation
Writing
ESL (English as a Second Language)
Mathematics
Critical Thinking Groups
Computers
Developmentally Disabled Life Skills
   
Other
         
WHICH SITES DO YOU PREFER TO TUTOR AT?
         
Reed Library
CHOICE High School
MCL Learning Center
Belfair
Correction Center
Hoodsport Library
West Olympia
SPSCC - Main Campus
SPSCC - Hawks Prairie    
 
PLEASE CHECK ALL THE TIMES YOU MIGHT BE AVAILABLE:
Mon
Tues
Wed
Thurs
Fri
Sat
Morning
Afternoon
Evening
 
ADDITIONAL COMMENTS:
 
OPTIONAL QUESTIONS FOR GRANT PURPOSES
Age 
Ethnicity 
Gender:
EMPLOYMENT STATUS
LEVEL OF EDUCATION COMPLETED
 
 
       

In the heart of downtown Shelton
Mason County Literacy
P.O. Box 2529
133 West Railroad Ave.
Shelton, WA 98584		 Phone: (360) 426-9733
Fax:     (360) 426-9789
Email: staff at masoncountyliteracy dot org
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