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Programs
Arts and Communication
Business, Management and Technology
Health Services
Human Services
Industrial and Engineering Technology
Natural Resources/Agriculture
Transfer & Core Skills
Adult Education
High School
Cost & Aid
Financial Aid
Tuition & Fees
FAFSA
Scholarships
Payment Information
Admissions
Schedules
Campus Tour
Meet Your Counselor
Services
Student Success
Career Services
Employer Services
About
Chancellor's Welcome
Board of Trustees
History
Strategic Plan
Human Resources
Locations
OTC Foundation
Grants Development
Research
News
OTC Cares
Programs
Arts and Communication
Business, Management and Technology
Health Services
Human Services
Industrial and Engineering Technology
Natural Resources/Agriculture
Transfer & Core Skills
Adult Education
High School
Cost & Aid
Financial Aid
Tuition & Fees
FAFSA
Scholarships
Payment Information
Admissions
Schedules
Campus Tour
Meet Your Counselor
Services
Student Success
Career Services
Employer Services
About
Chancellor’s Welcome
Board of Trustees
History
Strategic Plan
Human Resources
Locations
OTC Foundation
Grants Development
Research
News
OTC Cares
Volunteer Application
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Adult Education Volunteers
Volunteer Application
Volunteer Application
Fields marked with an
*
are required
Contact Information
Contact Information
First Name
*
Last Name
*
Email
*
Phone
*
Address 1
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
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Illinois
Indiana
Iowa
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Maine
Maryland
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Michigan
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New Hampshire
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New York
North Carolina
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Ohio
Oklahoma
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Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip / Post Code
*
Birth Date - Month and Day (MM/DD)
*
Occupation
Place of Employment
Education
-- Please Select --
H.S./G.E.D.
College
B.A./B.S.
M.A./M.S.
Area of Study
Work Experience
Volunteer Experience
Other Relevant Experience
Hobbies/Special Talents and Interests
Days you are available to volunteer
Monday
Tuesday
Wednesday
Thursday
Friday
Times you are available to volunteer
Morning
Mid-Day
Afternoon
Evening
Academic Area of Interest
Hi-Set Preperation
Math
English as a Second Language
Below Sixth Grade Level Reading/Math
Volunteer Interests
Telephoning
Word Processing
Assisting w/Volunteer Training
Correction/Jail
Other
Please explain why you are interested in becoming an Adult Education volunteer
Can you make a minimum commitment of six months to the volunteer program?
*
-- Please Select --
Yes
No
Have you ever been convicted of a felony?
*
- Select One -
Yes
No
Felony Note
(Note: No applicant will be denied solely on the grounds of a conviction of a criminal offense. The nature of the offense, the date of the offense, the surrounding circumstances and the relevance of the offense to the position applied for may, however, be considered.)
Are you currently on probation and/or parole?
*
- Select One -
Yes
No
What physical conditions should be taken into consideration in arranging a volunteer assignment for you?
How did you learn about volunteering with Adult Education and Literacy?
Radio
TV
Friend/Family
Library
Newspaper
Magazine
Special Event
OTC Website
Other
Emergency Contact Information
Emergency Contact Information
Name
*
Day Phone
*
Evening Phone
*
References
References
Please submit two non-family references (friend, employer, co-worker, etc.)
Reference #1
Reference #1
Name
*
Phone
*
Reference #2
Reference #2
Name
*
Phone
*
Authorizations
Authorizations
May we use photographs of you in brochures, promotional pieces, etc.?
*
- Select One -
Yes
No
As a volunteer, I understand that I am not an employee of Ozarks Technical Community College, the Adult Education and Literacy program or the volunteer class site.
*
- Select One -
I Agree
I Do Not Agree
If you are a human seeing this field, please leave it empty.
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