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Chicago Lights Tutoring Volunteer Application 2024-2025


CONTACT INFORMATION











DEMOGRAPHIC INFORMATION












SCHOOL INFORMATION



BUSINESS INFORMATION



EMERGENCY CONTACT INFORMATION




VOLUNTEER OPPORTUNITIES

Please select the volunteer opportunity you are available for. Our GREATEST need is for One-to-One Weekly Tutor/Mentors, so please consider joining on for that 1.5 hours per week commitment!





SKILLS/EXPERIENCE




EDUCATION




BACKGROUND QUESTIONS














CRIMINAL HISTORY




SUPPORTING CHICAGO LIGHTS

APPLICANT'S STATEMENT
The information contained in this application is correct to the best of my knowledge. I authorize any references listed in this application or on my reference forms to give you any information they may have regarding my character and fitness for children/youth work. I release all such references from liability for any damage that may result from furnishing such evaluations to you and I waive any right that I may have to inspect references provided on my behalf.

I release Chicago Lights and/or Fourth Presbyterian Church to verify the truthfulness of any of the above information through past employers, personal references, criminal record checks, or other appropriate investigation. I further release Chicago Lights and/or Fourth Presbyterian Church to share any of the above information with any agent of Chicago Lights (whether paid staff or volunteer staff) when necessary to evaluate my acceptance or continuation as a volunteer in the programs.

I authorize and consent to Chicago Lights and/or Fourth Presbyterian Church’s thorough investigation of whether I have been indicated of being involved in any aspect of child abuse, and, if so, the nature of the circumstances available through lawful means. A background check will focus on convictions or any involvement in child abuse. A criminal record may not necessarily disqualify me from volunteering.

I understand that while Fourth Presbyterian Church and Chicago Lights will utilize all reasonable safety precautions, I release Fourth Presbyterian Church and Chicago Lights from any liability and assume full responsibility for myself at all times.

I understand that Chicago Lights and Fourth Presbyterian Church neither endorses nor sponsors off-site, independent relationships and activities between volunteer tutors and students. If such relationships and/or activities occur independent of the on-site tutoring sessions, Chicago Lights and Fourth Presbyterian Church are not responsible for accidents and/or incidents arising from such events. Volunteers and parents/guardians of students are responsible for communicating directly with each other to navigate offsite relationships, using all reasonable safety precautions including, but not limited to: initial volunteer and parent/guardian meeting, volunteer obtaining written permission from the parent/guardian of the students for any off-site outing, and volunteer and parent/guardian agreeing to and planning outings in public, safe environments.

I also commit to participate as fully as possible in weekly tutoring sessions as well as the training sessions and/or meetings that will be offered during the year. I agree to inform program staff about any changes that would prevent me from keeping this weekly commitment. Included is a commitment to be fully responsible for keeping myself and my student informed of the Tutoring Program’s procedures, rules, and events.

Should my application be accepted, I agree to be bound by the Constitution and Bylaws and Policies of Fourth Presbyterian Church and the Chicago Lights, and to refrain from unlawful conduct in the performance of my services on behalf of the church.
By typing your name below you agree to the above statement.



PHOTOGRAPHY AND VIDEO
The staff of Chicago Lights and Fourth Presbyterian Church periodically take photographs and video of our volunteers, students, and staff, for use in celebrating and promoting the Tutoring program. These images are our most compelling representations of Tutoring and are vital to our effort to generate funding to support the program. These photographs and videos, which are used in print pieces and electronic communications, are used only by Chicago Lights and Fourth Church. They are never sold, nor are they used by other individuals or organizations without permission from those in the images. Similarly, no individuals in the images are ever identified by name without their permission. Do you grant my permission for Chicago Lights and Fourth Presbyterian Church to photograph or video record you and use such photos and videos in these ways to depict the work of the Tutoring program?