February 10, 2015 Brandon Tabor Volunteer Interested in Volunteering with us?You may download the volunteer form* and mail it back to us or you can fill out the form below. We’ll get in touch with you as soon as possible! You may also leave comments at the bottom of this application.*Volunteer form is a PDF file. Online Volunteer Application Basic Information All fields with a red * are required. * Application Date * Volunteer Position Seeking (check all that apply) Computer Teaching/Learning Mentoring Tutoring Other Other Volunteer Position Seeking What other volunteer position are you seeking? * Name First Last * Home Address Street Address Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State ZIP Code Work Phone * Home Phone Cell Phone * Email Email Confirm Email Education * Highest Level of Education High School/GED 2yrs. College Associate Degree Trade School 4yrs. College Bachelors Degree Masters Degree Doctorate Employment If you're unemployed, please click on "no" in the "Currently Employed?" field and skip to "Skills & Experience." * Currently Employed? Yes No Current Employer/Company Current Position/Title Company Address Street Address Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State ZIP Code Would you like us to keep your employer abreast of your volunteer service and achievement? No Yes Skills & Experience * Please list your special training, skills, certifications, etc. in computers, mentoring, tutoring. * What is your level of competence in computers? Beginner Intermediate Advanced Comments about your computer skills: * What experiences have you had that may prepare you to work as a volunteer in the field of [computer learning/teaching; mentoring; tutoring & homework assistance]? Availability Please put in the start and end times for the corresponding days that you are available. If you're not available on a certain date, please say "not available". If you have other available times, please note them at the bottom of this section. Saturdays are Adult Classes. * Monday Availability * Tuesday Availability * Wednesday Availability * Thursday Availability * Friday Availability * Saturday Availability (Adult Classes) Other Available Times Other Important Information * Have you ever been convicted of a crime? Conviction of a crime is NOT an automatic disqualification for volunteer work. Yes No If "yes," please explain the nature of the crime and the date of the conviction & disposition. If "no," please skip and move to the next question. * Do you have a driver's license? Yes No * Do you have car insurance? Yes No * Do you have a car available for transporting others? Yes No References Please list 3 people who know you well and can attest to your character, skills, and dependability. Include your current or last employer. * List of References Allowed file extensions are .doc, .docx, .pdf. Max file size is 33 MB. Please make sure your reference list includes your reference's Name/Organization, relationship to you, length of relationship to you, and a phone number. Please read the following carefully before submitting this application: I understand that this is an application for and not a commitment or promise of volunteer opportunity. I certify that I have and will provide information throughout the selection process, including on this application for a volunteer position and in interviews with [NLEDC] that is true, correct and complete to the best of my knowledge. I certify that I have and will answer all questions to the best of my ability and that I have not and will not withhold any information that would unfavorably affect my application for a volunteer position. I understand that information contained on my application will be verified by [NLEDC]. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant for a volunteer position with [NLEDC] or my termination as a volunteer. If you have read and agreed to the statement above, please click on the “I Agree and Submit” button below to act as your signature. * I'm Human!