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Contact Us
Programs & Services
Get Involved
Donate
Volunteer
Board Membership Application
Fundraising & Events
Deck Campaign
Resources
Literacy Statistics
Volunteer Resources
Date
First and Last Name
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Phone
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Email
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Street Address
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Apartment, suite, etc
City
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State/Province
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ZIP / Postal Code
*
Country
Afghanistan
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Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Australia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cabo Verde
Cayman Islands
Central African Republic
Chad
Chile
China, People's Republic of
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French South Territories
Gabon
Gambia
Georgia
Germany
Guernsey
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island And Mcdonald Island
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Johnston Island
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
North Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Montenegro
Morocco
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Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
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Poland
Portugal
Puerto Rico
Qatar
Reunion Island
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
Saint Helena
Saint Pierre & Miquelon
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and South Sandwich
Spain
Sri Lanka
Stateless Persons
Sudan
Sudan, South
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan, Republic of China
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
US Minor Outlying Islands
United States of America (USA)
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis And Futuna Islands
Western Sahara
Yemen Arab Rep.
Yemen Democratic
Zambia
Zimbabwe
Emergency Contact Info
How did you hear about Brunswick County Literacy Council?
Newspaper
Flyer
Organization
A friend
Social Media
BCLC Staff
BCLC Board Member
BCLC Volunteer
Current Employment Status
Part Time
Full Time
Student
Seeking Employment
Not-Seeking Employment
Retired
Level of Education Completed
Field of Study
Degree Earned 1
Degree Earned 2
Other Schooling/Licenses
Languages
Previous Experience/Career
Do you like working with students?
YES
NO
If YES, in what capacity have you worked with students
Teacher
Tutoring
Other
What areas of study are you interested in teaching?
Basic Math
Algebra
Geometry
Reading
Writing
English as a Second Language
Basic Computer Skills
Email Skills
Web Search Skills
Word Processing Skills
Other Computer Skills
Resume Writing Skills
Job Application Skills
Home Budgeting Skills
Other Life Skills
Time Management Skills
Study Techniques
Other Study Skills
Volunteer Opportunities other than Tutoring
General Office Assistance
Computer Data Entry
Organization
Landscaping
Building Repairs
Board Member
Finance
Fundraising
Literacy Awareness
Annual Donor Drive
Program Volunteer
Public Relations Media Outreach
Newsletters
Website Maintenance
Events - Golf Tournament
Events - Annual Drive
Events - Adult Spelling Bee
Events - Holiday Book Share
When are you available to volunteer?
Morning
Afternoon
Evening
Number of Hours Per Day/Week/Month
Days Available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Ethnicity Statistical Info Only (optional)
White
African American
Hispanic
Other
Gender - Statistical Information Only (optional)
Male
Female
Other
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