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American Indian Festival of Words to celebrate the history, culture, arts and achievements of American Indians in March.*

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Ways to contact us
(918) 596-7977
400 Civic Center
Tulsa, Oklahoma 74103

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Tutor Information Sheet

We appreciate your sharing the following information needed to complete our annual national report.

*First Name:		*Last Name:
*Address:		City: Zip:

Please list all that apply **(including at least one phone number)** and indicate your preferred mode of contact:
*Preferred contact method:	Contact Information
Home	Home Phone #:
Work	Work Phone #:
Cell	Cell Phone #:
Email	Email Address:

Demographic Information
*Gender:	Male Female
*Date of Birth:	/ / mm/dd/yyyy
*Ethnicity:
*Age:

*Please select the highest education level completed:
Less than 12th Grade	GED	High School Diploma
Some College	Undergraduate Degree	Graduate Degree
Other:

*Please select the employment status that best applies to you:
Full-time	Part-time	Retired
Unemployed, seeking work	Unemployed, not seeking work
*Occupation: If retired or currently not in the job market, please indicate your professional background above.
*Current Place of Employment:

*Please provide two personal references (who are not your present employer or a relative):
Name	Daytime Phone Number

*Select your first and second choices for attending tutor training. View the schedule.
First Choice	Second Choice

*Please check when you will be available to tutor:
Monday	AM	PM	Eve
Tuesday	AM	PM	Eve
Wednesday	AM	PM	Eve
Thursday	AM	PM	Eve
Friday	AM	PM
Saturday	AM	PM
Sunday		PM

Hours of operation may differ from one library to the next. Please see the Locations & Hours page for specific hours of operation for your preferred libraries.

*Please select at least four library locations where you would be willing to meet a literacy student.
(Hold the CTRL key to select multiple locations.)

*Please select the type(s) of student you would be willing to work with. (Refer to the Tutoring Options page for student descriptions and their potential needs.)

Beginner Basic Lit	English as a Second Language	Adjudicated Juvenile/Adult
Advanced Basic Lit	Developmentally Delayed	Physically Handicapped

What are your special interests (fishing) or skills (bi-lingual)?

Are you involved in other volunteer activities? If so, please list those organizations (past or present):

Have you tutored in an adult literacy program before? If so, where?

How did you hear about our program?

Please explain what you hope to accomplish as a tutor in the library's adult literacy program:
Type here

Note: Volunteers must be at least 18 years of age, have a High School Diploma or GED, satisfactorily complete a full Tutor Training class, and read and write at an 8th grade level.

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