HOME VOLUNTEERS STUDENTS NEWS ABOUT US ESPAÑOL  

 

Student Application Form

To obtain English as a Second Language (ESL) or basic literacy tutoring from Literacy Volunteers of the Tarrytowns, please complete the information below and submit it.

Tutoring takes place at the Warner Library in Tarrytown. This service is provided free of charge by trained volunteer tutors. A tutor will be assigned to you as soon as one becomes available. It is very important that you attend regularly. For a schedule of the Warner library, click here.

First name  
Last name  
 
Telephone  
Email  
Postal address  


Best days available?
 

When are you available for tutoring at the Warner Library?
(please select all possible days and times):

Monday Tuesday Wednesday
Thursday Friday  
Saturday Sunday  
Best hours available?  
10AM - 12N 12N - 2PM (morning, noon)
2PM - 4PM 4PM - 6PM (afternoon)
6PM - 8PM 8PM - 9PM (evening)

Demographic information  

The following information is collected for statistical purposes only and is not shared or distributed by Literacy Volunteers of the Tarrytowns.

Country of origin:  
Native language:  
Ethnic group:  
Age group:  
Gender:   Female   
Male
Years living in the United States:  
Employment status:  
Education level:  


Tutoring needed
 
  English as a Second Language     Basic literacy

Which of the following skills do you want to improve.

Speaking English
Reading English
Other.     Please specify:


Source of referral?  

I learned about the Literacy Volunteers program through:

Tarrytown Warner Library
Warner Library newsletter
This web site or the Internet
Newspaper or magazine
A friend
Other.     Please specify:

   

If you wish to provide additional information, please write it in the space below.

Comments  
 
   

Click "Submit" to send your application. We will contact you about your application two to four weeks after we receive the application.


* Required                   

Copyright © 2005 Literacy Volunteers of the Tarrytowns. All Rights Reserved   Privacy Policy . Accessibility . Site Map . Contact