Tutor Application

Please fill in all fields marked with a *
First Name *
Last Name *
Email Address *
Username you would like to use (must be at least five characters long). *
Street Address
City
State
Zip
Birth Date
Gender Male   Female
Home Phone
Cell Phone
Volunteer experience
Why do you wish to tutor?
Languages other than english
Level of Education

Less than 12th Grade
High school diploma
College
Undergraduate
Graduate

Employment Status Employed
Retired
Student
Past occupation or present employment
Please list references: They can be employers or supervisors from work or volunteer experiences.
Name Relationship
Phone Number
Name Relationship
Phone Number
Referral Source
 
Have you ever been convicted of a felony? Yes No
(This is a question asked of students and tutors for purposes of successful matching and is relevant only in terms of how it relates directly to the tuoring arrangement.) If yes, please discuss this with the program coordinator when interviewed.
 
Indicate your preference for tutoring: NTC's (goal lab)
NTC classroom AM
NTC classroom PM
Salvation Army NTC (goal lab)
Marathon County Public Library
Community Corner Club House
Neighbors Place
Select volunteer opporunties of interest
One - one tutors Special needs students
Conversation Group Special Projects (fundrasing, etc)
Financial Literacy Office / Cerical
Health Literacy Public relations
 
Times Available
  Monday Tuesday Wednesday Thursday Friday Saturday
Morning
Afternoon
Evening

              

Marathon County Literacy Council
300 N. 1st St., Wausau, WI 54403 | Phone: 715-261-7292
Fax: 715-261-7232 | email: info@mcliteracy.us

Marathon County Literacy Council, Inc. Home page link