Volunteer Application: Edmonds Community College Volunteer Literacy Program

ESL (English as a Second Language) and GED (High School Equivalency)

Date________________

Name_______________________________________________ Birthdate:_______________________
Address_____________________________________________
city_______________________state_____________________zipcode______________

Telephone (home):____________________ __(work)______________________(cell)______________

Best days/times to call:_________________________________ OK to call at work?

Yes

No

E-mail:_________________________
Emergency Contact Name:____________________________ Phone:___________________________

Current Employment:_______________________________________________________
Full time____

Part time____ Not working____ Student______ Retired_____

Relevant prior employment, if any:___________________________________________________

Education:__________________________________________________________________
Languages spoken other than English: ___________________________________________

References:

Please list names and phone numbers of one work reference and one personal (Not

family) reference. If you do not have a work reference, use an instructor or a previous volunteer
supervisor
(Work ) Name______________________________ Phone_________________________________
Relationship________________________ How long have you known this person?________

Personal (Not family)you can also use instructors, other volunteer work contacts, friends, host
families, etc.) Name_______________________Phone:_______________________________
Relationship_____________________

How long have you known this person?_________

On a separate piece of paper, please answer these questions:

1. Why do you want to be a volunteer in Adult Literacy, Adult Basic Education, GED/Math?
2. What skills and knowledge do you have that you feel would be helpful in volunteering with our
programs?
3. Our students represent a wide range of socio-economic and cultural backgrounds. Can you
describe one experience you have had with someone whose background differs a great deal
from your own?
4. Is there anything else you would like to share about yourself?
5. What is your availability? Which days/times are best for you?
(Note: ESL classes are Mon-Thurs, 8:30 a.m. to 2:20 p.m. in 2-hour blocks-- plus evenings 5:10
to 7:20 or 7:30 to 9:40. GED classes are same during day hours, but evenings are either 5:20 or
6:00 until 8:10 p.m.)
6. We reserve the right to do a background check.
I agree to let Edmonds Community College Volunteer Program conduct a background check.
Signature_______________________________________ Date____________________
7. Do you have an idea if you prefer ESL or GED students at this point? (not necessary to make a
choice yetyou have time to decide! ) _________________________________________
_________________________________________________________________________

Thank you for your interest!

Please let me know if you have any questions.

Nancy Strom, Volunteer Literacy Coordinator

Tel: 425-640-1032 E-mail: nancy.strom@edcc.edu
Office: Mukilteo Hall, Room 414
Mailing Address: Edmonds Community College
20000 68th Avenue West; Lynnwood, WA 98036-5999