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Volunteer Application
Thank you for your interest in volunteering at the Backside Learning Center! Please fill out the volunteer application to begin the volunteering process. If you have any questions, please call 502-634-6543.
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* Indicates required question
Email Address
Your answer
Name (Last Name, First Name)
*
Last Name, First Name
Your answer
Phone Number
*
Your answer
Street Address
*
Your answer
City & State
*
Your answer
Zip Code
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Spanish Level of Fluency
*
Spanish is not required to volunteer.
Beginner
Intermediate
Fluent
Do not speak Spanish.
Employer or School
*
Please list your current employer. If you are a high school or college student, please list the name of your school.
Your answer
Education Level
*
This is for our records only and will not impact your placement.
Choose
Middle School
High School/GED
In college
Associate's Degree
Bachelor's Degree
Graduate/Professional Degree
Please list your volunteer availability
*
Include days of the week and times.
Your answer
Areas of Interest
*
Please choose the volunteer opportunit(ies) you are interested in.
Assistant English Language Instructor
Conversation Partners
In-Home Summer Reading
K-12 Tutor & Mentor
Pre-K Classroom Volunteer
Individual Tutor (Citizenship, GED, or English)
Special Events
Bike Repair Mechanic/Aid
Volunteering with a Group (i.e. church groups, corporate groups, etc.)
Organization Leadership/Committee Service
Other:
Required
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