VOLUNTEER REQUEST FORM

Please fill out one form for each classroom request.

If you experience difficulties submitting this form, please print it out and fax it to Barbara Harris at 617-482-0617.
Teacher Name:
School Name:
Street Address:
City:  State:  Zip:
Subject/Grade: Room:
School Phone:  Fax: 
Home Phone:
Teacher Email:
Principal/Director Name:
Principal/Director Email:

WEEKLY TUTORING/MENTORING

 Please check area(s) of interst.
Tutoring/Mentoring (Please choose one or both subject areas that apply: Math Literacy)
Classroom Assistance (available for Kindergarten only)
 
Volunteer will be working with ( please give the total number of students in each category below to be served):
one on one
small group
whole class
What is the maximum number of volunteers you would like at one time?
 
Schedule (Please indicate your preferred times for volunteers):
Monday from to Thursday from to
Tuesday from to Friday from to
Wednesday from to Saturday from to
 
I shall provide adequate space and materials for tutors to work with their student(s).
I commit to meeting with the volunteer(s) to discuss student progress and volunteer feedback.
CAREER AND ENRICHMENT SPEAKER(S) (Middle and High School only): Please be as specific as possible when indicating choice(s),eg. topic, number of speakers needed,suggestions for presenters,etc
 
Guest Speakers Special demonstrations to enhance curricula
 Special events (e.g. career fairs.)

Details:
Schedule: Day(s) Hours Room #

We appreciate all you do as a teacher and partner with Boston Partners in Education. It will be very helpful, in placing our volunteers with you, to understand your goals for the volunteer services we provide, so please supply the following additional information.

1. Have you worked with Boston Partners in Education (BPE) before?
Yes, I have worked with BPE before No, this is my first year working with BPE

2. As you look ahead to this school year, what are the areas in which you believe BPE volunteers can make the most important difference for your students?
building overall academic skills building overall social skills
building overall study skills building overall self-confidence
building reading skills building math skills
building writing skills helping students learn to work in small groups
building verbal/speaking skills
Other:

3. As you look ahead to this school year, what are the areas in which you believe BPE volunteers can make the most important difference for you as a teacher?
providing 1-on-1 attention to students who need it most
working with small groups so I can work with other small groups at the same time
working with individual students so I can more effectively present a lesson
providing skills building to enhance what I already do
reading aloud to students
working with ESL students
      helping me achieve specific curriculum objectives:
      other ways BPE volunteers can help in my classroom:


4. Throughout the year, when you, BPE and the volunteer(s) need to communicate, what is the best way for you?
Telephone Home telephone #:
Fax Fax #:
Email Email address:
As-needed informal meetings
Other Other:

5. Please make additional suggestions to help make this year a success:

Name of person making request:   Title:
This request has been approved by my Principal/Headmaster/Director

Thank you! Boston Partners in Education will do its best to fill your request.