Adult Literacy Volunteer Information

1. First Name:
2. Last Name:
3. Address:
4. City:
5. State:
6. Zip:
7. Email Address:
8. Home Phone Number:
9. Cell Phone Number:
10. Work Phone Number:
11. Best time to reach me:
12. Date of birth (dd/mm/yy)
13. Gender male female
14. Ethnicity Asian Black Hispanic White Other
15. Employment full-time part-time retired not in labor force
16. Occupation (current or former):
17. Are you an MCC "Promise" student interested in community service hours? YesNo

Tell us About Yourself

1. Why do you want to work as a literacy volunteer?
2. Describe any teaching or training experience you have had.
3. What work experiences (volunteer or paid) have you had?
4. What languages do you speak?
1. Chinese
2. Polish
3. Portuguese
4. Russian
1. Spanish
2. Urdu
3. Other
4. If other, please specify
5. What are your expectations of the literacy program staff and for the students?
6. What are some of your goals for the next five years?

Additional Volunteer Opportunities

Please indicate what specific volunteer opportunities you’d enjoy:

Finally, how did you hear about the Volunteer Literacy Program?