Baltimore City Community College – English as a Second Language ProgramsThe Maryland Office for Refugees and Asylees and US Citizenship and Immigration Services Citizenship Preparation Program Volunteer ApplicationPlease Contact: Suzanne Waclawski, Citizenship Program AssistantOffice: 410-580-2759 fax: 410-580-2767 email: swaclawski@bccc.eduThe first step in the process to become a Citizenship Program Volunteer Tutor is to complete this application. After completing an application, please submit it to the Citizenship Program Assistant via email or fax. The Citizenship Program Assistant will review your application and will get back to you to set up an orientation. Contact us with any questions, thank you.We offer several classes throughout Maryland and Volunteer Tutors have the option to serve following a teacher’s direction or independently as a 1-on-1 tutor. If you are interested in working in a classroom under a teacher’s guidance, please indicate the location with an “X” and circle/highlight your availability below. For example: _X_ Holiday Park Mon. & Tue. 6-9Baltimore ____ BCCC Harbor Campus, 710 E. Lombard StreetSaturday 9am – 12pm___ BCCC Reisterstown Plaza Ctr., 6764A Reisterstown Rd. Saturday 9am – 12pm___ BCCC Reisterstown Plaza Ctr., 6764A Reisterstown Rd. Mon. & Wed. 6pm – 9pm___ Catonsville Library, 1100 Fredrick Road Mon. & Wed. 9am – 12pm ___ CASA de Maryland, 2224 East Fayette St.Saturday 1pm – 4pm___ Esperanza Center, 430 S. Broadway St.Thursday 6.30pm – 8.30pm___ Goodnow Community Center, 5311 Goodnow Road Tue. & Thurs. 9am – 12pmMontgomery County___ Gilchrist Ctr. at Wheaton Library, 11701 Georgia Ave.Saturday 12pm – 3pm___ Gilchrist Ctr. at Wheaton Library, 11701 Georgia Ave.Saturday 3:15pm – 5:15pm___ Gilchrist Ctr. Upcounty RSC, 12900 Middlebrook Rd.Tuesday 6pm – 9pm___ Holiday Park Senior Ctr., 3950 Ferrara Drive Mon. & Tue. 9am – 12pm; 2-5pm___ Holiday Park Senior Ctr., 3950 Ferrara Drive Tue. & Thur. 12pm – 3pm; 2-5pm___ Our Lady of Vietnam Church, 11812 New Hampshire Ave. Sunday 10am – 1pm___ Gilchrist Ctr. Upcounty RSC, 2424 Reedie Dr.Tuesday 3pm – 5pm___ Long Branch Senior Center, 8700 Piney Branch Rd. Wed. & Fri. 11am – 1pm___ Rockville Senior Center, 1150 Carnation Drive Mon. & Wed. 12:30pm – 2:30pm___ Germantown Community Center, 18905 Kingsview Rd. Thursday 6 – 9pmPrince Georges County___ Hyattsville Library, 6530 Adelphi Rd. Sat. 10am – 1pm; 1pm – 4pm ___ New Carrollton Library, 7414 Riverdale Road Tue. & Thur. 10am – 1 pmVolunteer InformationName:Today’s Date: Address:Phone:City/State: Emergency Contact:Phone:Zip: E-mail:Date of Birth: Gender:Employment Status\* MERGEFORMAT Full-time\* MERGEFORMAT Retired\* MERGEFORMAT Unemployed\* MERGEFORMAT Part-time\* MERGEFORMAT Student\* MERGEFORMAT Unemployed, but seeking\* MERGEFORMAT Other: _______________________________________________________________________Volunteer History*You may attach resume*LocationResponsibilitiesStart DateEnd DateEducational Background*You may attach resume*\* MERGEFORMAT High School Graduate/GED \* MERGEFORMAT Other_________________________________(please specify)\* MERGEFORMAT Undergraduate/Graduate Degree & Major ______________________________________________\* MERGEFORMAT Qualifications, Trainings, Certifications:______________________________________________________________________________________________________________________________________\* MERGEFORMAT Fluent in _______________________________________________________________________________________________________________ReferencesPlease provide us with the name and phone numbers of two references of persons not related to you. (No family members please.)Name:Position:Phone:E-mail:Name:Position:Phone:E-mail:How did you hear about our Program? \* MERGEFORMAT Word-of-mouth\* MERGEFORMAT Flyer\* MERGEFORMAT Library or Community Center\* MERGEFORMAT Church or School Bulletin \* MERGEFORMAT Baltimore City Community College\* MERGEFORMAT Participated/Know someone who did\* MERGEFORMAT The Internet\* MERGEFORMAT Other: ___________________________________________________________________-590550-453390As a person who is volunteering your time, we want your experience to be a positive one. In order to best match you with our program's needs, please answer the following questions. Your answers will help us to get to know you better. A lack of volunteer experience or special skills does not affect your eligibility to be a volunteer.00As a person who is volunteering your time, we want your experience to be a positive one. In order to best match you with our program's needs, please answer the following questions. Your answers will help us to get to know you better. A lack of volunteer experience or special skills does not affect your eligibility to be a volunteer.Why do you want to volunteer with our program?What special skills, interests, and resources do you have that might be relevant to tutoring or other volunteer positions (i.e. teaching, language, writing, etc.)Please describe any previous experience you have volunteering.What have you enjoyed most/least in previous volunteer assignments? 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