State: |
|
Race: |
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Education: |
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Employment: |
|
Positions
interested in: |
|
I
am available to volunteer: |
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Time
commitment: |
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In addition
to English, what language(s) do
you know? |
Have
you even been convicted of a crime
other than a misdemeanor?
|
| If
Yes, please list date and charge: |
Do you have
any physical, mental or medical
disabilities that might limit your
ability to perform your duties with
Literacy Volunteers?
If yes, please describe: |
Why are you
interested in working with Literacy
Volunteers?
If applicable, please comment on
prior volunteer experience. |
Please list
any special skills/abilities or special
interests
that you would be willing to volunteer
to Literacy Volunteers
(e.g. graphic design, creative writing,
party/special event planning,
computer skills, media/community contacts.) |
Personal References
-
Please provide at least
one work/volunteer reference if
possible: |
I understand
that the information on this application
is subject to verification.
I agree that if accepted as a volunteer,
I will abide by the volunteer regulations
as outlined by Literacy Volunteers
of Greater Hartford. |