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Application
TUTOR
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Name:
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First
Last
Gender:
*
Volunteer Type:
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New Volunteer
Returning Volunteer
Email:
*
Confirm Email:
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Phone Number:
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Are you currently enrolled in school?
*
Yes
No
Graduated
Name of School / University:
*
Select
American University
Anne Arundel Community College
BCCC - Baltimore City Community College
Bowie State University
Carroll Community College
CCBC - Community College of Baltimore County
Coppin State University
Frederick Community College
Georgetown University
George Washington University
Goucher College
Hagerstown Community College
Hood College
Howard Community College
Howard University
Johns Hopkins University
Loyola University Maryland
McDaniel College
Morgan State University
Mount St. Mary's University
Notre Dame of Maryland University
Prince George's Community College
Towson University
UB - The University of Baltimore
UMB - University of Maryland, Baltimore
UMBC - University of Maryland, Baltimore County
UMCP - University of Maryland, College Park
USG - The Universities at Shady Grove
Other
If other, please list details here:
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Program / Major:
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Expected Graduation Month and Year:
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Have you volunteered with Baltimore City Schools or Baltimore County Schools before?
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Yes. Baltimore City Schools
Yes. Baltimore County Schools
Yes. Both
No
If you answered "Yes", please list the school(s) and the year(s) you volunteered:
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What subjects would you be comfortable tutoring? (*select all that apply):
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Math
English
Reading
History
Social Studies
Language Arts
Health
Science
Art
Music
Any subject
Study Skills
Foreign Language
Other
If foreign language, please specify:
*
If other, please list here:
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How many years of experience do you have working with or tutoring youth?
*
Please share more about your experience as a tutor or with youth:
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Why are you interested in volunteering as a tutor?
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Motivation for Tutoring
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I have an interest in teaching
To fulfill community service hours
To fulfill field practicum hours
I see a need for youth academic support
I saw an ad about the program
Someone asked me to be a tutor
I belong to a group/organization that is participating in the program
Word of mouth
I have an interest in being a professional tutor
Other
If other, please specify:
*
Affidavit of Criminal History
*In order to volunteer in Baltimore Public Schools, prospective volunteers must disclose any history of criminal violations if they occurred after the employee or volunteer reached the age of 18 years old. Violations that occurred prior to the age of 18 years old must be disclosed if they are public information.
Do you have any pending or past criminal violations?
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Yes
No
Please select which pending or past criminal violations:
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N/A
Guilty (a conviction)
Probation before Judgment (PBJ)
A court ruling of Not Criminally Responsible (NCR)
Been charged with a serious traffic violation that resulted in your arrest that ended in a disposition of Guilty conviction
Other
If other, please specify:
*
FINGERPRINTING
All volunteer candidates and persons with access to students are required to be fingerprinted for a criminal background check. (Hilma's Heart will cover the fees for your fingerprinting and criminal background check).
AVAILABILITY
Which semester(s) are you planning to volunteer?
Fall
Spring
Fall and Spring
What day(s) and time(s) will you be available to tutor?
Would you consider serving as a Tutor for the Fall and Spring semesters to build a stronger connection with the students you work with?
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Yes.
I will consider it and inform you at a later time.
Unfortunately, at this time I can only volunteer the Fall semester.
Unfortunately, at this time I can only volunteer the Spring semester.
Unsure
How Did You Hear About Us?
*
Internet/Search Engine
Social Media
Friend Referral
Referral
Campus Organization
College Campus Staff
Handshake
Sorority
Fraternity
Other
If you were referred by a friend, please mention their name:
If you were referred by someone, please mention their name:
If other, please specify:
Sorority Name:
Fraternity Name:
Please upload your resume:
*
Click or drag a file to this area to upload.
I hereby certify that the aforementioned statements are true and correct to the best of my knowledge. I hereby grant Hilma's Heart Community Organization permission to verify such answers. I understand that any false statement on this application may be considered as sufficient cause for rejection of this application or for immediate suspension of the practical or volunteer experience.
Electronic Signature
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First
Last
Date
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Submit