Prospective Tutor Application Form
Thank you for your interest in volunteering for Literacy Delaware!

IMPORTANT!!!!
To submit this application you will be required to submit names and contact information for two (2) references at the end of this form.  PLEASE DO NOT BEGIN THIS APPLICATION WITHOUT THE INFORMATION ON THESE REFERENCES.  If you do not provide the required information on your references, your application form will not be submitted and ALL of the other information you have entered will be lost.  

Once you complete all of the required data entries you will be sent an email which will give you the opportunity to edit your answers at a later time.
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Notice of Possible Fees
As part of your application to be a Tutor, you are asked to pay for the necessary background check(s) for the past 7 - 10 years.  The price for a standard background check in Delaware is $20.  This does not include access fees mandated by other states for which you are also asked to pay if you have not lived in Delaware for the full 10 year period.  Some states do not require access fees for background checks. 
Last Name *
First Name *
Gender *
Email address *
Phone Number *
Format as ###-###-####
Indicate phone type for the above phone number *
In which county do you reside? *
Street Address 1 *
Street Address 2
City *
State *
Zip Code *
Date of Birth *
MM
/
DD
/
YYYY
How did you hear about Literacy Delaware? *
Present/Previous (if retired) Occupation or Place of Employment *
Ethnicity (For statistical purposes only - choose all that apply) *
Required
Education (For statistical purposes only - choose highest level achieved) *
Major for highest level undergraduate/graduate degree (if a degree was awarded)
Describe your previous volunteer experiences.  Please include the type of volunteer work, length of involvement and name of organization> (Maximum 250 characters) *
Why do you want to volunteer with Literacy Delaware? (Maximum 250 characters) *
What would you like to tutor? (ESL= English as a Second Language) or (Basic Reading = Tutoring a native English speaker how to read)
Clear selection
What qualities do you have that will make you successful teaching? (Maximum 250 characters) *
What do you think would be your greatest challenge as a tutor? (Maximum 250 characters) *
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