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The following information is helpful to us in selecting and assigning volunteer roles, planning training, and collecting data for evaluation. Any information you provide us will be completely confidential. Qualified applicants are considered for positions regardless of race, color, creed, religion, gender, national origin, sexual orientation, disability, or marital status. Thank you for your interest in literacy!


Due to current circumstances, your volunteer experience may be entirely remote.

A typical volunteer shift is 2 hours long
Which day(s) and time(s) are you available to volunteer?

Emergency Contact Information
In the event you begin volunteering at Open Door, please provide the name and number of an emergency contact.

Page 2




Volunteer Tutor References

In an attempt to ensure that we provide the best possible service to adult learners, we require that each new tutor provide references. 

Please include two people, at least one of whom knows you in a professional context (including a work or volunteer supervisor, professor/teacher, religious leader). An automatic reference request will be sent to the email provided immediately. Please tell your references to expect this email.

Reference 1






Reference 2






Background Check
If yes, please explain the nature of the crime and the date of conviction and disposition. (Conviction of a crime is not an automatic disqualification for volunteer work.)
To ensure the safety of participants, staff, and other tutors, Literacy Minnesota conducts a background check on all applicants. Do we have your permission to run a background check?
Agreement
I declare that the information on this form is true and correct to the best of my knowledge.  I understand that any false or misleading information given by me can disqualify me from consideration or result in dismissal at a later time.  I understand that completing this application does not guarantee my acceptance as a volunteer, nor does it obligate me to accept a volunteer assignment.  I further understand that Literacy Minnesota provides no auto insurance coverage for volunteers, and further does not agree to cover me for any legal liability arising out of my work as a volunteer. I permit the Literacy Minnesota to to contact the references I provided within this application to complete credential references. 

Page 3 - Demographics

This section is voluntary (select "prefer not to answer" for any questions you do not wish to answer), and any information you provide us will be completely confidential. The information collected is used to monitor our success at attracting and maintaining a diverse volunteer corps in order to better serve our communities. It is also used in our annual report and for the purpose of writing various grant proposals.
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