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Volunteer Application

Please complete the application below or click here to download a printable form. Printed completed forms should be sent to Carlos Carrillo at ccarrillo@uncommongood.org

Are you interested in *

Mentoring
Tutoring
Farm Program
Volunteer Dungeon Master
LEAF
3W
HMC STEM Tutoring
Music Mania
Music Mentoring
CMC Homework Help Tutoring (Grades 4th-7th)
CMC Student Connect Tutoring (Grades 8th-12th)
Other

Other, please type in below

Would you want to tutor in-person or over Zoom?

Zoom Only
In-Person Only
I can do either/both.

If you would like to tutor which subjects/areas would you feel comfortable with?

Language Arts

Reading & Comprehension
Spelling
Writing
Research Skills

Mathematics

Arthimetic
Fractions
Estimation
Statistics
Algebra
Geometry
Trigonometry
Numerical & Graphic Relationship
Calculus

Physical & Social Sciences

Biology
Chemistry
Physics
Environmental Science
Anatomy & Physiology
History
Government
Economics

Other Subjects

Computer Science/ Coding
Art
Music
Other (Please explain below)

Other subjects/areas not listed above

Name *

First

Middle

Last

Phone *

Preferred Number *

Home
Work
Cell

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Demographics

DOB *

Gender *

Male
Female
Non-Binary
Other (enter below)

Pronouns *

Languages Spoken (other than English) *

Racial/Ethnic Group (Choose all that apply) *

American Indian/Alaska Native
Asian and/or Asian American
Black and/or African American
Hispanic/Latinx
Middle Eastern or Northern African
Native Hawai’an/Pacific Islander
White/Caucasian
Other (Please Describe below)
Prefer not to answer

Other Racial/Ethnic Group not listed above:

Occupation & Education

Highest Level of Education Completed *

K-8
High School/GED
B.A/B.S
MA
Professional Degree
Doctorate (PhD, MD, ect.)
Some College/No Degree

Are you currently enrolled in College/University *

Yes
No

Undergraduate College/University Name *

If highest level of education is High School/GED, enter the name of your school here.

Graduation *

If highest level of education is High School/GED, enter your graduation date here.

Graduate College/University Name *

Graduate Graduation *

Are you eligible for work study? (Pitzer & HMC students only)

Yes
No
N/A

Occupation *

Additional Information

Do you have a current Driver's License? *

Yes
No

What state was your Driver's License Issued in? *

Are you willing to drive a student? *

Yes
No
Not sure/Maybe

Do you have car insurance? *

Yes
No

Do you have any illness, addiction, or disability? *

Yes
No

If yes, please explain below:

Are you in need of additional accommodations or should we be aware of anything that affects your ability to tutor or mentor a student?

Have you ever been convicted of a crime? *

Yes
No

If yes, please explain below:

Do you use and/or own any guns and/or firearms? *

Yes
No

Are there any guns and/or firearms in your place of residency? *

Yes
No

If yes, please explain below:

About You

How did you hear about Uncommon Good? *

Please describe prior volunteer experiences, particularly in the areas of mentoring, tutoring, or advocacy. *

Please list any special interests or hobbies. *

Please list any clubs/associations you currently participate in. *

Emergency Contact

Emergency Contact Name *

First

Last

Phone *

Relationship *

Professional References

Please provide three professional adult references (no friends or family members) who we may contact. If you are employed, one reference must be a supervisor.

Reference 1 Name *

First

Last

Reference 1 Phone *

Reference 1 Email *

Reference 1's relationship to you *

Reference 2 Name *

First

Last

Reference 2 Phone *

Reference 2 Email *

Reference 2's relationship to you *

Reference 3 Name *

First

Last

Reference 3 Phone *

Reference 3 Email *

Reference 3's relationship to you *

Submit

I hearby certify that the information provided is true and further understand that any misrepresentation is grounds for removal from participation in Uncommon Good. *

I certify

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Volunteer With Us!

Uncommon Good is a 501c3 nonprofit organization.

Tax ID: 95-4792792

We’re open Monday-Friday, 9:00am – 5:00pm; closed Saturday & Sunday.

(909) 625-2248

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