Literacy Volunteers of Greater New Haven

ATTENTION
POTENTIAL TUTORS!

If you are interested in becoming a volunteer literacy tutor, take a look at the “How to Volunteer” section to find the schedule of Tutor Orientation and Tutor Training sessions. Then fill out a Tutor Application and send it in to us. We will be in touch with you!

If you have questions about becoming a literacy tutor, please email us at info@lvagnh.org or call 776-5899 (New Haven) or 235-1714 (Meriden).

We are always looking for new tutors to work with the many adult students who need help, so please tell your friends about us.

THANK YOU FOR
YOUR INTEREST!

CONTACT US NEW HAVEN OFFICE One Long Wharf Drive, Room 227 New Haven, CT 06511 203-776-5899 phone 203-772-1504 (fax) info@lvagnh.org
MERIDEN OFFICE Meriden Public Library, 105 Miller St. Meriden, CT 06450 (203) 235-1714 phone (203) 630-2423 (fax) info@lvagnh.org

Volunteer Tutor Application Form

Application Date
Name
Street Address
City, State, Zip Code
Gender	Male	Female
Phone	Home	Work	Cell
Email Address
Date of Birth
Emergency Contact
What is the best way to contact you?	Phone	Email
Place of Birth
What Languages Do You Speak?
Hobbies & Interests
Previous Volunteer Experiences:
Tutoring adults is a rewarding and challenging experience. Why do you want to volunteer with Literacy volunteers?
Literacy Volunteers asks that you remain active in the program for at least one (1) year after you have been trained and that you spend at least 2 hours per week tutoring the student(s) assigned to you. Will this be possible for you?	Yes	No
Are you interested in participating in fundraising efforts throughout the year?	Yes	No
Ethnic Group	Native American	Hispanic	White
	Black	Asian/Pacific Islander	Other
Employment Status	Full Time	Part Time
	Unemployed	Retired	Seeking Employment
Name of Current or Last Employer
Title or Position
Education	High School	Some College
	College Degree	Graduate Degree
Area of Specialty
Referral Source	TV Program or Ad	Library	Public Relations
	Radio	Website	Phone Book
	Newspaper	Special Event	Current LV Tutor
	Employer	Volunteer Center	Another Agency
	Friend/Family	Poster/Flyer	Other
Please Indicate the Type of Tutoring You Are Interested In	Basic Literacy (English speaking students learning to read and write)		No Preference
	ESOL (English for Speakers of Other Languages)		Undecided
Please Indicate the Times and Days You Are Available to Tutor	Mornings	Days:
	Afternoons	Days:
	Evenings	Days:
	Weekends
Please Indicate Where You Would Prefer to Tutor	I am interested in tutoring only in the Greater New Haven area
	I am interested in tutoring only in the Meriden/Wallingford area
	I am interested in tutoring anywhere there is need

Literacy Volunteers of Greater New Haven will accept volunteers without regard to age, gender, color, national origin, religion, disability, political belief, sexual orientation, familial or veteran status.

© 2007 Literacy Volunteers of Greater New Haven