Name  

Address

City

State

Zip

Day phone

Evening phone

Email:

Email (please enter again to confirm:

License Plate # (if you need a parking permit)

Why would you like to volunteer in our ESL/ABE program?

Please Select the number of hours that you are available:

Hours per week:     1     2     3     4     5     6     7     More than 7  

Please Select the days that you are available:

Days:  M   T   W      Th   F

Morning from to

Afternoon from to

Eve from to

Please check your preferences:

   

    Help with GED/ABE

   

    Help with ESL.

   

    To help as a classroom aide.

   

    To facilitate a small conversation group of ESL students.

   

    To tutor one student

What experience do you have with cultures and/or languages outside your own? (travel, study, friends, etc.)

Please summarize your work and/or volunteer experience.

How did you hear about this program?

Betsy Binnian, Humanities, Shoreline Community College, 16101 Greenwood Ave. N., Seattle 98133

Office 5360, Foss Bldg.; voicemail: (206) 546 é 6959; e-mail: bbinnian@shoreline.edu