VOLUNTEERS IN SCHOOLS

VOLUNTEER SURVEY FORM

MELVILLE SCHOOL

Name: ____________________________ Address: ______________________________________________

Phone: (H) ________________ Child: ________________Teacher: __________________ Gr.: ___

(W) ________________ ________________ __________________ ___

Volunteer Status: I want to volunteer:

New ___ (If new is checked, please Regularly ___

complete the reverse side of Occasionally _____

page.)

Returning _____

So that we can more effectively use your skills, please share some information about yourself. Think in terms of professional or volunteer experience, talents, expertise, hobbies, travel, and special interests.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Educational background: Highest grade or degree _________________

Major _______________________________

Minor _______________________________

Do you enjoy assuming leadership roles? ________________________

Do you enjoy working on committees? __________________________

When are you available to volunteer? What is the best time to

Days: ________________________ reach you by phone?

Times: _______________________ _______________________

Do you have small children at home? ___________________________

How long to you plan to be in the area? _________________________

Do you have children attending other Portsmouth schools?

Portsmouth Middle School ___

Portsmouth High School ___

PLEASE SIGN THE RELEASE ON THE BACK OF THIS FORM.

VIS-16M-99

I am interested in helping in the following area(s). Training is available where needed.

1. Tutoring*

___ Reading

Are you trained in Open

Court? ___

___ Math

___ ESL

___ High School

Subject ____________

2. Clerical

___ Photocopying*

___ Data Entry/Typing

___ Computer Operations

Basic ___ Advanced ___

3. Assistance

___Classroom Helper*

___ Library*

___ Room Parent

___ Special Education Art*

___ Special Education PE*

___ Field Trips

4. Health Screening

Vision ___ Hearing ___

5. Programs

___ Publishing Center

(students’ compositions)

___ Arts for Life Week

(a celebration of the Arts)

___ Club Melville (after-

school enrichment)

___ Books and Beyond

___ Thanksgiving Feast

___ Picnic and Field Day

___ Resource Speaker

My area of expertise is

__________________

6. Kindergarten

___ Registration (March)

___ Yellow Brick Road Test

(September)

*Indicates a weekly commitment.