Teacher Request for Volunteer Services - Boston Partners in Education



* Required fields

Name of Teacher (or contact person) *
Email *
Home/Cell Phone *
School *
School Phone *
Fax
Address (Street, City, ZIP) *
Grade *
Room Number *
Principal/Headmaster/Director *
Principal Email *
Preferred Contact Method
Preferred Contact Time
WEEKLY ACADEMIC MENTORING
Please check area(s) of interest.
	Tutoring/Mentoring
	Classroom Assistance (available for Kindergarten only)
If applicable, please choose one or both desired subject areas:
	Math
	Literacy
Please indicate the number of students desiring to be worked with one on one:
Please indicate the number of students to be worked with in small groups and the size of groups:
Name of students:
Students' specific areas of need within subject:
What is the maximum number of volunteers you would like at one time?
SCHEDULE (Please indicate your preferred times for volunteers):
Please enter times as (hh:mm AM/PM)
Monday
From:
To:
Tuesday
From:
To:
Wednesday
From:
To:
Thursday
From:
To:
Friday
From:
To:
Saturday
From:
To:
I shall provide adequate space and materials for tutors to work with their student(s).
	I agree.
I commit to meeting with the vounteer(s) to discuss student progress and volunteer feedback.
	I agree.
Have you worked with Boston Partners in Education before?	Yes No
CAREER AND ENRICHMENT SPEAKERS (Middle and High School only)
Please be as specific as possible when indicating choice(s), eg, topic, # speakers needed, etc.
	Guest Speakers
	Special demonstrations to enhance curricula
	Special event (e.g. career fairs)
Details:
SCHEDULE:
Day(s):
Hours:
Room Number:
Please indicate school type:
	Middle School
	High School
Name of person making request:
Title:
This request has been approved by my Principal/Headmaster/Director
	I agree

Name of Teacher (or contact person) *

Email *

Home/Cell Phone *

School *

School Phone *

Fax

Address (Street, City, ZIP) *

Grade *

Room Number *

Principal/Headmaster/Director *

Principal Email *

Preferred Contact Method

Preferred Contact Time

WEEKLY ACADEMIC MENTORING

Please check area(s) of interest.

Tutoring/Mentoring

Classroom Assistance (available for Kindergarten only)

If applicable, please choose one or both desired subject areas:

Math

Literacy

Please indicate the number of students desiring to be worked with one on one:

Please indicate the number of students to be worked with in small groups and the size of groups:

Name of students:

Students' specific areas of need within subject:

What is the maximum number of volunteers you would like at one time?

SCHEDULE (Please indicate your preferred times for volunteers):

Please enter times as (hh:mm AM/PM)

Monday

From:

To:

Tuesday

From:

To:

Wednesday

From:

To:

Thursday

From:

To:

Friday

From:

To:

Saturday

From:

To:

I shall provide adequate space and materials for tutors to work with their student(s).

I agree.

I commit to meeting with the vounteer(s) to discuss student progress and volunteer feedback.

I agree.

Have you worked with Boston Partners in Education before?

Yes

No

CAREER AND ENRICHMENT SPEAKERS (Middle and High School only)

Please be as specific as possible when indicating choice(s), eg, topic, # speakers needed, etc.

Guest Speakers

Special demonstrations to enhance curricula

Special event (e.g. career fairs)

Details:

SCHEDULE:

Day(s):

Hours:

Room Number:

Please indicate school type:

Middle School

High School

Name of person making request:

Title:

This request has been approved by my Principal/Headmaster/Director

I agree