Application Form for Service Learners

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A Typical Class Session

Volunteer Application Form for Service Learners
Note: This application is for volunteers who are currently participating in a university-approved service learning program. If you are not a service learner, please click here to apply.

* Indicates required field

1. Name *

First

Last

2. Address Line 1 *

Address Line 2 *

City *

State *

Zip Code *

3. Email *

4. Phone Number *

Select One *

Day *

Year *

6. Have you tutored and/or taught before? *

Yes No

If yes, when and where have you tutored? *

7. Although not a requirement, please describe any Spanish speaking skills you may have: *

8. How did you learn about ELPW? *

9. In which college/university are you enrolled? *

If you selected "other" institution in the previous question, which one is it? *

10. What year in college/university are you? *

11. What is your major? *

12. What class are you taking that requires service hours? *

13. How many hours do you need? *

If you are applying to volunteer at ELPW to fulfill Service Learning Hours, please read this document.

Submit