VOLUNTEER INFORMATION FORM
Thank you for your interest in volunteering. You may mail this form to or drop it off at
Skyline Literacy, 975 S. High Street, Harrisonburg, VA 22801; or you may email it to skylitbarbie@gmail.com
**Skyline Literacy requires that volunteer tutors have a high school diploma/GED and be at least 18 years of age.
Skyline Literacy (SL) does not require knowledge of another language nor teaching experience.**
Please fill in all gray areas
Today’s Date
Please mark best way(s) to contact you
Full Name
Full Address
Home Phone
Cell Phone
Work Phone
(If not in Harrisonburg)
County
Notes
Other Phone
Email
Gender
Ethnicity
Male
Female
Asian
Black/African-American
DOB
Language(s)
Education
Martial Status
Year / Subject
Hispanic/Latino
High School Diploma
White
GED
Middle Eastern
Some college
Native Hawaiian / Other
Pacific Islander
Associate Degree
American Indian / Alaskan
Native
Undergraduate Degree
Graduate Degree
Doctorate Degree
Employment
Full-time
Retired
Employer
Occupation
How did you hear about
Skyline Literacy?
Student
Specific referral source
Part-time
Unemployed
Not in labor force
If you are a student…
Name of School
Major/concentration
When are you available to volunteer? (Please be specific.)
Mon.
Thurs.
Tues.
Fri.
Wed.
Notes
Sat.
Sun.
Expected graduation date
How long do you plan to stay in the area?
Why are you interested in tutoring?
Do you have special training and/or skills related to
tutoring, adult literacy, or ESOL?
Do you have strengths in any of
Reading
Writing
these subject areas?
Math
Other____________________________
Skyline requires most volunteers to attend a 2-hour Tutor Orientation session, as well
as a 3-5-hour training in a specific area. Are you willing and able to commit to this?
Yes
No
Maybe
SL also requires tutors to commit to two (2) hours a week of direct instruction, plus
additional time for preparation. We prefer a commitment of one year, summers
included, if possible. Can you commit to this?
Yes
No
Maybe
(If not, non-tutoring volunteer opportunities are available. See below*)
What kind of tutoring are you interested in?
Basic Literacy (reading & writing for English speakers)
GED Preparation
ESOL (English for Speakers of Other Languages)
Citizenship Preparation
Do you have transportation?
Yes
How far are you willing to travel
to meet with your learner(s)?
Where can you meet your student?
My home
Public place
One-on-One/Private tutoring
Small group instruction (class)
Large group instruction (class)
No
When are you available to start tutoring?
Are you willing to meet with other tutors to exchange information,
share tips, experiences, and concerns/questions?
Yes No
Their home
Do you prefer a student who is
No preference
Male
Female
No preference
*If you can only commit to tutoring less than 2 hours a week, can you…
Assist a short-term GED or Citizenship student?
Yes
No
Assist an ESOL or Citizenship small-group tutor?
Yes
No
Assist a learner in the Skyline Literacy computer lab?
Yes
No
Provide childcare during ESL or Citizenship classes?
Yes
No
*If you would like to volunteer but cannot commit to tutoring, can you...
Assist in the office or with special projects
Contribute to the quarterly newsletter
Assist in grant writing (experience required)
Administer language assessments to ESOL learners (we provide training)
Assist with the annual auction or other events (International Festival, Kids’ Book Festival, etc.)
Communicate with our ESOL learners by phone in Spanish, Kurdish, or Russian
Help with IT related needs
Provide computer technical support
Distribute flyers
Revised July 2011
Additional Information
 A tutor’s availability, experiences, and skills are carefully evaluated to create a match that provides
the best possible educational experience for our learners. Through this careful evaluation, Skyline
Literacy strives to create a positive experience for both our tutors and learners.
 The Skyline Literacy office has a library of texts, workbooks, games, and supplemental teaching
aids.
 Unless you have sufficient experience and/or training, all volunteer tutors must participate in a Tutor
Training Workshop focusing on Basic Literacy, ESOL, Citizenship, or GED instruction. You may
attend more than one training to improve your skill set and increase your tutoring options.
 In order to provide group instruction bi-weekly, we prefer to assign teams of tutors to each small
group.
 Skyline Literacy’s website www.skylineliteracy.org provides the following for both volunteers and
learners: registration forms, additional resources, and evaluations; as well as the Learner Hours &
Progress Report, a quarterly e-newsletter, and up-to-date announcements