ࡱ> #` {bjbjmm *w&&&84'<p(SSH)1( 2 2 2 2Pp547NRPRPRPRPRPRPR$)VhXptR9 2 299tR 2 2 S<<<9X 2 2NR<9NR<<LM 2<) SNs&:|LN|#S0SSLY:Y0MM&YM,8>V8,<8$8 888tRtR~<X888SS9999$  ( ESL Office ( English as a Second Language Program MCCSC Volunteer Application Last Name:  FORMTEXT       First Name:  FORMTEXT       Address:  FORMTEXT      Zip:  FORMTEXT      Date of Birth:  FORMTEXT      Home Phone: ( FORMTEXT    ) FORMTEXT    - FORMTEXT      Cell Phone: ( FORMTEXT    )  FORMTEXT     -  FORMTEXT      Work Phone: ( FORMTEXT    )  FORMTEXT     -  FORMTEXT      Place of Work:  FORMTEXT      E-mail:  FORMTEXT      How did you learn about volunteer opportunities with the ESL Office?  FORMTEXT       Volunteer, Tutoring or Mentoring experience Please select the age group or the grade levels of students you ve worked with and list your previous experiences: Grade Level:Experience: FORMCHECKBOX  Preschool (0-4 yrs) FORMTEXT       FORMCHECKBOX  Kindergarten (5-6 yrs) FORMTEXT       FORMCHECKBOX  Elementary (7-12 yrs) FORMTEXT       FORMCHECKBOX  Middle School (13-14 yrs) FORMTEXT       FORMCHECKBOX  High School (15-18 yrs) FORMTEXT       What content areas do you have experience in tutoring?  FORMCHECKBOX  Math  FORMCHECKBOX  Science  FORMCHECKBOX  Literacy/Language Arts  FORMCHECKBOX  Social Studies Do you speak a language other than English?  FORMDROPDOWN  What other language(s) do you speak?  FORMDROPDOWN  List Other:  FORMTEXT   How proficient are you in this other language:  FORMCHECKBOX  Level 1 (Beginner)  FORMCHECKBOX  Level 2 (Early Intermediate)  FORMCHECKBOX  Level 3 (Intermediate)  FORMCHECKBOX  Level 4 (Advanced)  FORMCHECKBOX  Level 5 (Fluent) What other language(s) do you speak?  FORMDROPDOWN  List Other:  FORMTEXT   How proficient are you in this other language:  FORMCHECKBOX  Level 1 (Beginner)  FORMCHECKBOX  Level 2 (Early Intermediate)  FORMCHECKBOX  Level 3 (Intermediate)  FORMCHECKBOX  Level 4 (Advanced)  FORMCHECKBOX  Level 5 (Fluent) What type of Volunteer work are you interested in?  FORMCHECKBOX  ESL Tutor  FORMCHECKBOX  FLAME (Child Care Volunteer) If youre an IU student Current Year of Study: Undergraduate:  FORMCHECKBOX  F  FORMCHECKBOX  S  FORMCHECKBOX  J  FORMCHECKBOX  S Graduate:  FORMCHECKBOX  M  FORMCHECKBOX  D Expected Graduation Date: FORMTEXT       Major/Field of Study: FORMTEXT       Minor(s):  FORMTEXT       Is this required for a class?  FORMCHECKBOX  YES  FORMCHECKBOX  NO If yes: Class:  FORMTEXT       Instructor:  FORMTEXT       # of hours required:  FORMTEXT       Is this a Service-Learning Course?  FORMDROPDOWN  Availability Minimum of 1-2 hours/week commitment per semester; Please list the times you are available. Include evenings and weekends for possible assignments outside of school. Are you willing to work more than once a week?  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( Emergency Contact Information: Name: FORMTEXT      Relationship:  FORMTEXT      Daytime Phone: ( FORMTEXT    ) FORMTEXT    - FORMTEXT      E-mail:  FORMTEXT       Transportation Do you have a mode of transportation?  FORMDROPDOWN  If yes, what type?  FORMDROPDOWN  Looking at the MCCSC map of schools, which schools are closest to your home or classes? 1.)  FORMDROPDOWN  2.)  FORMDROPDOWN  3.)  FORMDROPDOWN  4.)  FORMDROPDOWN  Is there anything else about you that you want us to know?  FORMTEXT       Assignment (to be filled out by the ESL Office at time of confirmation) School:  FORMDROPDOWN  On-site Supervisor or Teacher:  FORMTEXT   Days:Start Time:End Time:Comments: FORMCHECKBOX  Monday FORMTEXT        FORMDROPDOWN  FORMTEXT        FORMDROPDOWN  FORMTEXT       FORMCHECKBOX  Tuesday  FORMTEXT        FORMDROPDOWN  FORMTEXT        FORMDROPDOWN  FORMTEXT       FORMCHECKBOX  Wednesday FORMTEXT        FORMDROPDOWN  FORMTEXT        FORMDROPDOWN  FORMTEXT       FORMCHECKBOX  Thursday FORMTEXT        FORMDROPDOWN  FORMTEXT        FORMDROPDOWN  FORMTEXT       FORMCHECKBOX  Friday FORMTEXT        FORMDROPDOWN  FORMTEXT        FORMDROPDOWN  FORMTEXT       FORMCHECKBOX  Saturday FORMTEXT        FORMDROPDOWN  FORMTEXT        FORMDROPDOWN  FORMTEXT       FORMCHECKBOX  Sunday FORMTEXT        FORMDROPDOWN  FORMTEXT        FORMDROPDOWN  FORMTEXT       1st On-site visit/introduction date: FORMTEXT       NOTES  FORMTEXT           315 North Drive Phone: 330-7700 Bloomington, IN 47401 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