|Cell Phone Number: Other Phone Number:
|City: State: Zip Code:
|Level of tutoring are you requesting to volunteer for:
East Shore High School
|How do you prefer to be contacted?
Please mark the day(s) and time(s) you will be available: (Please check all that apply to which you can commit on any given day)
|Regarding the above schedule:
How long can you commit to above hours per day? i.e. for the semester, for what number of weeks, etc?)
How many hours do you prefer to work? (Understand that we cannot guarantee hours)
|Are you willing to accept orientation, training, and direct supervision from teachers, principal(s), and others involved in the program administration for East Shore High School? Yes (please initial)
|What High School subjects do you feel most comfortable tutoring? (select all that apply)
Please list the name and phone number of one or more references.