Volunteer Application "*" indicates required fields Name* First Last Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date of Birth MM slash DD slash YYYY Gender Male Female Other Race/Ethnicity American Indian or Alaskan Native Asian African American/Black Hispanic/Latino Native Hawaiian/Pacific Islander White Do you have access to a computer or tablet?* Yes No Do you have access to the internet?* Yes No We currently provide tutoring in person and on Zoom. Which do you prefer?* In Person Zoom Attendance at a 2-hour Orientation Session is MANDATORY prior to attending a 12-hour Tutor Training Workshop. Please check your spam folder for any LCN correspondence. A PA criminal background check is also required (provided by LCN). Please choose from the following dates:* Tuesday, 6/13/23, 3-5pm - NORRISTOWN I attended a previous orientation If applicable, choose previous orientation date attended MM slash DD slash YYYY Emergency Contact Name First Last Emergency Contact Relationship Emergency Contact PhoneDo you have any educational certificates? Adult education Special education K-12 TESOL Other Highest level of education High School Diploma/GED Technical/Business School Certificate Some college courses Associates Degree Bachelor's Degree Master's Degree Doctoral Degree Employment status Full Time Part Time Unemployed Looking for work Retired Occupation Employer How did you hear about LCN? Internet Social Media LCN Website Flyer/Brochure Family/Friend Community Organization Volunteer Match Why are you interested in volunteering at LCN?Additional notes/commentsCAPTCHANameThis field is for validation purposes and should be left unchanged.
