Fresno County Library
          
         
         
    
 
 
 
          
         
         
    
 
 
 
          
         
         
    
 
 
 
Fresno County Public Library
Literacy Services Center

2020-2021 Literacy Volunteer Intake Form


Your identifying information will not be shared. We gather information for funding purposes. The only information reported is your gender, age, race and ethnicity.

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What gender do you identify as? *
 
Ethnicity Identity and origin:
Are you of Hispanic, Latinx or Spanish origin? *
 

What is your race? (Please select as many responses as you like) *
 
 
 
 
 

Available to volunteer (please write the times of availability)
 Times available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
 
 
Check all that apply
1. Have a special interest in or experience with these subjects: *
2. I am interested in working with these library literacy projects: *
3. Would be willing to tutor a learner with these special challenges:
7. I have the technology to tutor remotely: *
8. Have experience with the following technological platforms and/or applications: *
 
10. Six words to describe yourself
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11. Are you a member of a community organization with possible interests in partnering with the library?

 

Zoom calls may be recorded for record-keeping, quality assurance, and training purposes.

Thank you for completing the form. I certify that all the information provided is accurate.

 

Signature *
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