Volunteers

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*
Date Format: MM slash DD slash YYYY

Emergency Contact