Volunteer Registration

Choose your area(s) of interest: *

Tutor - Adult

Tutor - Children and Parents Reading Together

LVCC Volunteer

Name

First

Last

Email address*

Preferred Phone*

Address Line 1*

Address Line 2*

City

Zip Code

State

Florida resident?*

Full Time

Part Time

Preferred Language Spoken*

Other Languages Spoken*

What is your date of birth?

What is your gender?*

Female

Male

Other/prefer not to say

Current Employment Status*

Full Time

Part Time

Self-employed

Retired

Occupation (current or former)*

Have you ever been convicted of a felony?*

Yes

No

Your Preferences

Preferred Tutoring or Volunteering Morning Times 8-12 AM

Preferred Tutoring or Volunteering Afternoon Times - 12 - 4pm

Preferred Tutoring or Volunteering Night Afternoon Times - 4 - 8 pm

Would you prefer to tutor?

Are you willing to be a substitute teacher for LVCC classes?

Yes

No

Do you belong to any groups or clubs? (e.g., book club, tennis group)

Please share any additional information about yourself that may be relevant to working with LVCC, including prior experience.

Character References

LVCC requests you provide three character references we can contact before we match you with a student.

Character Reference #1: Name*

First

Last

Character Reference #1: Phone*

Character Reference #1: Email *

Character Reference #2: Name*

First

Last

Character Reference #2: Phone*

Character Reference #2: Email *

Character Reference #3: Name*

First

Last

Character Reference #3: Phone*

Character Reference #3: Email *

Volunteers and tutors will be asked to sign a Personal Release Agreement, Tutor Statement of Intent, and Release of Liability before beginning activities with LVCC. Please enter your initials here to acknowledge your understanding

Are you human?*

Thank you for your interest in volunteering or tutoring with LVCC!

Your Preferences

Character References