Volunteer Tutor Application

* fields are required

Personal Information

First Name: *

Last Name: *

Address 1: *

Address 2:

City: *

State: *

ZIP Code: *

Phone: *

Email: *

How would you like us to contact you?: *

Phone
Email
US Mail

Educational History

Highest education level completed: *

High School:

Course of Study at High School:

College:

Course of Study at College:

Graduate School:

Course of Study at Graduate School:

Graduate School:

Course of Study at Graduate School:

Pertinent certification/training:

Are you fluent in any other language besides English?: *

Other Language(s):

What course(s) are you interested in tutoring for?: *

Do you have prior experience in a tutoring/instructional role?: *

Prior Experience:

Availability

When are you available to volunteer?: *

Weekdays
Weekends
Summer Only
Evenings

How often would you like to volunteer?: *

On which campus(es) do you prefer to meet with students?: *

Eastern Campus (Highland Hills)
Western Campus (Parma)
Westshore Campus (Westlake)
Metropolitan (Cleveland)

Have you ever been convicted of a felony?: *

Felony Information:

How did you hear about the Community Volunteer Tutoring Program?: *

Other Source:

References

Professional Name: *

Professional Phone: *

Professional Email: *

Relationship with the professional reference: *

Personal Name: *

Personal Phone: *

Personal Email: *

Relationship with the personal reference: *

Please Upload Your Resume

Allow .doc,, .docx and .pdf file format: *

By selecting the Submit button, I verify that the above information is true. I understand any false or misleading information is grounds for denying or terminating my volunteer placement. I have given the above information to the Community Volunteer Tutoring Program at Cuyahoga Community College (Tri-C) for the purpose of service to others and authorize them to contact any of the above-listed contacts. I understand that in the position of Volunteer Tutor I am not an employee of Tri-C and that participating in this volunteer program does not in any way influence my potential employment status at Tri-C.

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