Volunteers – Indianapolis Adult Education

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Work Phone*

Email*

In which areas are you interested in volunteering?*

Check all that apply

English Language Acquisition Tutor Time - working one – on –one or in small groups for half hour increments with students who are learning to speak, read, and write in English
High School Equivalency Tutor Time - working one – on –one or in small groups in hour increments with students who are studying to take the HSE exam
Administrative Assistance - helping with office work, hanging fliers, etc.

During which hours are you available for volunteer assignments?*

You don’t need to be her for all 3 hours. Check all that apply.

Mon. & Weds. mornings, 9-12
Tues. & Thurs. mornings, 9-12
Mon. & Weds. evenings, 5:30-8:30
Tues. & Thurs. evenings, 5:30-8:30
Other (please specify below)

Other availability

At which of our locations are you interested in volunteering?*

Ben Davis University High School
Community Caring and Sharing (HSE only)
Brownsburg Public Library
Plainfield Community Middle School (HSE only)
Ebenezer Iglesia Church (ELA only)
Ivy Tech Avon (HSE only)
John Knox Church (ELA only)
Ivy Tech Mooresville (HSE only)

Summarize your previous volunteer experience.*

Emergency Contact

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone*

Work Phone*

Email*

Agreement*

I affirm the facts are true.

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, and false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Initials*

Date*