[City of Santa Barbara] Volunteer Tutor Registration Form_Adult Literacy

Hello!

By completing this form, you will help us create an effective tutor-learner match.

We look forward to meeting you!

-The Literacy Services Team

What is your full name?

First Name

Last Name

What is your phone number?

Where do you live?

Street Address

City

State

Zip

What is the best way to contact you? Please choose one.

Emails

Phone Calls

Who is your emergency contact?

First Name

Last Name

What is your emergency contact's phone number?

The Library's hours of operation are below:

Central Library

Monday through Thursday 10 AM - 7 PM
Friday and Saturday 10 AM - 5 PM
Sunday 12 PM - 5 PM

Eastside Library

Monday through Thursday 10 AM - 6 PM
Friday 10 AM - 5 PM
Saturday 10 AM - 2 PM
Sunday Closed

Which library location is easiest for you to meet with a learner? Please choose one.

Central Library

Eastside Library

Which day is your first choice to meet with a learner? Please choose one. Please note the hours of operation above.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday (Eastside Branch is closed.)

On this day, which time(s) would you like to meet with a learner? Please choose up to three options.

10 AM - 11 AM

11 AM - 12 PM

12 PM - 1 PM

1 PM - 2 PM

2 PM - 3 PM

3 PM - 4 PM

4 PM - 5 PM

5 PM - 6 PM

6 PM - 7 PM

Which day is your second choice to meet with a learner? Please choose one. Please note the hours of operation above.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday (Eastside Branch is closed.)

On this day, which time(s) would you like to meet with a learner? Please choose up to three options.

10 AM - 11 AM

11 AM - 12 PM

12 PM - 1 PM

1 PM - 2 PM

2 PM - 3 PM

3 PM - 4 PM

4 PM - 5 PM

5 PM - 6 PM

6 PM - 7 PM

Please list any dates in the near future that you will be away from Santa Barbara and unable to tutor. If none, please write N/A.

Do you have a library card with the Santa Barbara Public Library?

What type of support will help you to attend your tutoring sessions on a regular basis? Please choose all that apply.

Childcare for a child/children under 8-years-old

Childcare for children over 8-years-old

Blind or visual impairment

Disability

Dyslexia

N/A

Do you have Internet access at home?

Yes

What devices do you use at home? Please choose all that apply.

Smartphone

Tablet/iPad

Laptop computer

Desktop computer

I do not have a device.

How do you identify? Please choose one. (Part 1)

Hispanic, Latino/a/e, or Spanish

Not Hispanic, Latino/a/e, or Spanish

Unknown

How do you identify? Please choose one. (Part 2)

How old are you? Please choose one.

Between ages 16 - 19

Between ages 20 - 29

Between ages 30 - 39

Between ages 40 - 49

Between ages 50 - 59

Between ages 60 - 69

Between ages 70 - 79

Between ages 80 - 89

I don't know how old I am.

How do you identify? Please choose one. (Part 3)

Man/male (cis or transgender)

Woman/female (cis or transgender)

Non-binary or genderqueer

Not sure

Prefer not to answer

What is the highest level of education that you have completed? Please choose one.

I rate my ability to communicate with Spanish-speakers as:

None

A little

Some

A lot

Fluent

What are the languages (not Spanish) that you speak, read, and write?

Why would you like to volunteer as a tutor with the Literacy Services Team?

What do you hope to achieve as a volunteer tutor? One month from now? 6 months from now?

How did you learn about this opportunity?

Is there anything that you would like to share with the Literacy Services Team that would help us support your goals as a volunteer?

Volunteer as an Adult Literacy Tutor with the Literacy Services Team!