Volunteer Tutor/Reader Application
Referred By
 
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/ /
 
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Cell - -
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Emergency Information
First Name Middle Last Name
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Relation to You
 
First Name Middle Last Name
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Do you have any medical conditions or take medication?
 
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Personal Information
Languages (other than English):
Ethnicity (opt.)
Educational experience:
Have you ever worked in a school setting or after-school program? If yes, please specify:
What specific skills and qualities would you contribute?
I would like to work with:
 

*****Please read and sign the back of this form.******

 

OUR MISSION
The mission of the "I Have a Dream" Foundation-Los Angeles is to help underprivileged children become productive citizens by providing a long-term program of academic enhancement, mentoring and cultural enrichment with an assured opportunity for higher education.

VOLUNTEER DUTIES

The volunteer tutors will provide friendship, learning, educational assistance, and support to Dreamers (students) by tutoring at least one hour per week and/or performing other duties as assigned, such as reading to a small group of Dreamers. Assignments will be under the supervision of staff during the after-school program.

Schedules will depend upon the location selected.

VOLUNTEER SKILLS

The "I Have a Dream" Foundation-Los Angeles is looking for volunteers who are: enthusiastic about learning, creative, have an appreciation and understanding for youth, patient, have a good sense of humor, willing to work with a variety of underprivileged youth of all skill sets and backgrounds, and have a strong sense of responsibility.

STUDENT NEEDS

Our students look to our program not only for academic support, social-emotional development, new learning opportunities, and college and career preparation, but also as a center of comfort, safety and stability. As a volunteer with our program, they will be looking to you as a role model and reliable source of support, as well.

VOLUNTEER COMMITMENT:

We ask our volunteers to:

  • Participate in an orientation/training provided by IHAD staff, typically at the project site.
  • Provide volunteer services as scheduled.
  • Phone IHAD staff when there are schedule changes and volunteering is not possible.
  • Initiate conversations and meetings with IHAD staff regarding ideas, questions, concerns, etc.
  • Sign-in and out for every volunteer session.
  • Consider seriously the amount of time you have available before making a commitment to volunteer. 

 

I AM OFFERING MY SERVICES TO THE "I HAVE A DREAM" FOUNDATION-LOS ANGELES AS A VOLUNTEER WITHOUT COMPENSATION. THE FOUNDATION MAY REQUEST ANY RELEVANT INFORMATION PERTAINING TO MY BACKGROUND THAT WOULD IMPACT MY ROLE AS A VOLUNTEER. AS A VOLUNTEER, I WILL ABIDE BY ALL RULES AND AGREE TO SIGN ALL FORMS THAT ARE APPLICABLE TO THE SAFETY OF OUR DREAMERS. I WILL NOT GO OFF CAMPUS WITH ANY STUDENT.

I AFFIRM THAT ALL THE ABOVE INFORMATION IS TRUE AND COMPLETE AND THAT FALSE OR MISLEADING INFORMATION MAY LEAD TO MY TERMINATION AS A VOLUNTEER TUTOR.

I CERTIFY UNDER PENALTY OF PERJURY THAT I HAVE NOT BEEN REQUIRED TO REGISTER AS A SEX OFFENDER PURSUANT TO PENAL CODE SECTION 290 AND HAVE NEVER BEEN ACCUSED OF AND/OR COMMITTED CHILD ABUSE OF ANY KIND.

 
 
 
 
   
 
© 2003 I Have A Dream Foundation - Los Angeles All Rights Reserved.