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Volunteer Application
Name:
*
First
Middle
Last
What pronouns should we use when referring to you?
She/Her/Hers
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They/Them/Theirs
I use multiple pronouns.
If you use multiple pronouns, please list them here:
Address:
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Home Telephone:
*
Work Telephone:
Other Telephone:
Email:
How did you learn about volunteer opportunities at LearningWorks?
*
Agency webpage
Agency brochure
Are you volunteering as part of a requirement?
*
Yes
No
Please check whichever applies:
*
service learning project
academic credit
court/restorative justice
workfare
other
How many hours must you complete, and by when?
Why do you want to volunteer with LearningWorks?
*
Which volunteer opportunities interest you?
Option 1:
English Language + Literacy Program
Tutor and mentor an adult immigrant or refugee by helping them to learn to read or write in English, and integrate into the larger community:
Requires a minimum 6 month commitment (including TEFL certification candidates in need of observation hours).
Meet weekly with your student for approximately 1.5 hours per week.
Meeting schedules determined between the tutor and his or her student.
Tutors can use meeting space at 181 Brackett Street during business hours, or meet with their student at a location of their choice in the community.
Training is provided.
Option 2:
Aim High AmeriCorps
Help elementary school students who are struggling with reading, math, or social emotional skills to catch up with their peers this summer via one-on-one, small group, and classroom support and mentoring:
This opportunity entails service through our
Aim High AmeriCorps program.
Requires a commitment of approx. 2 months, with a regular, agreed-upon service schedule.
Summer-only service is minimum time (more info here).
Service occurs at one of 4 local elementary schools (Reiche, East End, Riverton or Saccarappa) during the schools' summer program hours.
Option 3:
LearningWorks Afterschool + Summer Program
Help elementary school students who are struggling with reading or math to catch up with their peers by assisting program instructors in an afterschool or summer program:
Requires a minimum 2 month commitment.
Afterschool programs are held Monday-Thursday, 2PM – 5:30PM during the academic year.
Summer programs are held Monday-Thursday 8AM-noon for 5-6 weeks, depending on site.
Volunteerism occurs on-site at one of 11 elementary schools (Reiche, East End, Rowe, Talbot, Ocean Ave., Presumpscot, Kaler, Skillin, Biddeford Primary, JFK Memorial Kindergarten Center, and Waterboro Elementary).
Option 4:
LearningWorks Youth Build
Assist our academic and workforce development program for young adults by helping its teachers complete administrative tasks and prepare for instruction time.
Requires a minimum 3 month commitment (including service learners in need of observation hours).
Program is held Monday-Friday, 8AM – 3PM year-round.
Volunteerism occurs on-site at at 181 Brackett Street, Portland.
Option 5:
Administrative
Support the agency’s operations with behind-the-scenes administrative support. Examples include (but aren’t limited to):
Filling in as a front desk receptionist;
Lending your photography talents to our 50 Stories Project;
Helping the Development team with marketing and communications;
Doing clerical work or data entry for a program; or
Doing small projects that need to be done around the building.
Got other ideas? Let us know!
Please choose from the 5 options above: (check all that apply)
*
Option 1 - English Language + Literacy Tutor
Option 2 - LearningWorks Afterschool + Summer Program
Option 3 - LearningWorks YouthBuild - Admin Assistant
Option 4 - Administrative/Other
In what community(s) would you prefer to be placed?
*
Portland (EL+LP Tutoring, Afterschool + Summer Program only)
South Portland (EL+LP Tutoring only)
Westbrook (EL+LP Tutoring only)
Saco (Afterschool + Summer Program only)
Biddeford (EL+LP Tutoring, Afterschool + Summer Program only)
Waterboro (Afterschool + Summer Program only)
Please describe your computer skills:
*
What languages do you speak?
*
Are you currently volunteering for another organization?
*
Yes
No
If yes, where and for how long?
What is your educational background? (please list last level obtained and area of study)
*
What is your job or career background? (please attach resume if you have one)
*
Upload your resume
Max. file size: 50 MB.
Please describe other volunteer experiences or skills you want us to know about:
Please list two non-family member references we may contact:
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Name:
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First
Last
Address:
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Address Line 2
City
State / Province / Region
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
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Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
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Mayotte
Mexico
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Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
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New Caledonia
New Zealand
Nicaragua
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Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
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Palestine, State of
Panama
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Paraguay
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Philippines
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Portugal
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Qatar
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Russian Federation
Rwanda
Réunion
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Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
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Slovenia
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Somalia
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Sudan
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Thailand
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US Minor Outlying Islands
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Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone:
*
Email:
Relationship
*
Do you have a close personal relationship to a LearningWorks employee or student?
*
Yes
No
If yes, with whom?
I understand that to be considered as a volunteer at LearningWorks, I must complete and sign a Background Investigation Information Sheet.
*
I understand that if I am a volunteer with LearningWorks, there is protection for volunteers from civil liability during the course of appropriate service under the Federal Volunteer Protection Act of 1997.
*
I certify that the information I have provided in this form is true, accurate, and complete to the best of my knowledge.
*
Signature:
*
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