Volunteer Application

First Name

 

Last Name

 

Address

 

City

 

Home Phone

 

Cell Phone

 

Work Phone

 

May we call you at work?
 Yes No

 

Your Email

 

Gender
 Male Female Other

 

Date of Birth

 

Race
 African American Asian Caucasian Hispanic/Latino Native American Other Not Given

 

Marital Status
 Married Single Divorced Widowed Separated Cohabiting

 

 

Employment

Employment Status (Check One)
 Employed Retired Homemaker Other

 

Employer (previous, if retired)

 

Employer Address

 

Position

 

 

Education

Last year of school completed?
 Jr. High (6th - 8th) High School (9th - 12th) College Grad School

 

Degrees (please specify)

 

Other education or training

 

 

Volunteering

Please specify your area of interest as a volunteer. (Check as many as apply)
 Tutor (Literacy or Drop-in) Classroom Assistant Computer lab Assistant Office Assistant Career Mentor Special Events Publicity/Fundraising Board Member Other

 

Why are you interested in working as a volunteer for SBLC?

 

How did you learn about our program?

 

If interested in working with adult learners, do you have any tutoring/teaching experience? Please describe.

 

Are you willing to learn to teach?
 A Small Group A Student with a learning disability or a slow learner

 

Please describe any previous volunteer experience

 

How many hours per week are you available as a volunteer?
 2-3 4-5 5-6 7-8 9-10

 

 

Other Experience and Interests

Do you speak any languages other than English?

 

Do you have any special skills or training?

 

 

References

List one professional and one other reference (non-relative) of individuals who have known you for ore than one year:

 

Reference 1

Name

 

Relationship

 

Phone

 

Reference 2

Name

 

Relationship

 

Phone

 

Emergency Contact

 

Name

 

Phone

 

About SBLC

The South Baltimore Learning Center (SBLC) was started in 1990, and has grown to serve hundreds of adults each year offering a variety of educational services, many geared towards helping learners earn their high school diplomas.

Did You Know?

Reasons to Give to South Baltimore Learning Center Donate Now!

Opening Hours

Monday
8:30am – 8:30pm
Tuesday
8:30am – 8:30pm
Wednesday
8:30am – 8:30pm
Thursday
8:30am – 8:30pm
Friday
8:30am – 5:00pm
Saturday
9:00am – 3:00pm
Sunday
Closed

Contact SBLC

Address

28 E Ostend Street
Baltimore, MD 21230


Phone

410-625-4215


Fax

410-625-0275


Send Us A Message!