PfS Volunteer information

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Spring 2022 Service-Learner Information Form

Last name *

First name *

Pronouns

Duke email (firstname.lastname@duke.edu version) *

Duke Unique ID (this can be found on the back of your DukeCard, or when logging in to DukeHub. ***NOT your NetID or student# ***) *

Mobile number (will be used to send important reminders and time-sensitive information via Remind) *

Academic Year *

First year

Sophomore

Junior

Senior

Other

Which PfS service-learning course(s) are you enrolled in this semester? (choose all that apply) *

EDUC 101, Amy Anderson

EDUC 101, Sue Wasiolek

EDUC 240, David Malone

EDUC 240, Whitney McCoy

EDUC 240, Molly Goldwasser

I hope to return as a VOLUNTEER (currently not enrolled in a PfS-supported EDUC course)

Required

Have you previously taken a service-learning course that worked with PfS? *

Yes

If yes, which sites have you previously volunteered with?

What is your declared or intended major? Declared or intended minor (feel free to write n/a if you are unsure) *

Have you declared an Education Minor? *

Yes

I may in the future

Are you an America Reads/America Counts tutor this semester *

Yes

Are you on a varsity athletic team? *

Yes

If yes, what team and who is your athletic academic advisor?

Your tutoring sessions may be photographed, and photos may be used in promotional materials by the Program in Education. Please indicate whether you consent to be photographed // I give my permission to have my tutoring sessions photographed and used by the Program in Education: *

Yes

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