Students from some of Indianapolis’ toughest neighborhoods will soon have access to a free Tutoring Program provided by the GEO Foundation in support of the recent passage of the Edward M. Kennedy Serve America Act, which went into effect Oct. 1, 2009.

Thank you for your interest in applying to become a volunteer to tutor with GEO Foundation. Throughout this application, fields marked with an asterisk (*) are required. After submitting this application, a GEO staff member will contact you within two business days.

VOLUNTEER INFORMATION
*First Name:
*Middle Initial:
*Last Name:
*Address:
*City
State:
IN
*Zip Code:
Home Phone:

(at least one phone number is required)
Work Phone:
Cell Phone:
*E-mail:
Employer or School:
Occupation:
*Birth Date:
*School You Want to Tutor in:
First Choice of Interview:
Second Choice of Interview:
   
REQUIREMENTS
Please confirm that the following statements in this section are true. All boxes in this section must be checked to continue.
I am at least 18 years of age.
I am able to meet with a child on average 2-4 times a month (minimum of
4 hours/month) for one year.
I have a valid Indiana driver’s license or state ID and valid auto
insurance. (Exceptions are made for students and military personnel.)
I have reliable transportation with no recent history of driving under the
influence of alcohol or drugs, reckless driving or license suspension for
at least 3 years.
I have been free of alcohol and drug abuse/dependency for at least 3
years, and I have not used illegal drugs or controlled substances in the
past 3 years.
I do not have a felony record or criminal record (i.e. misdemeanor)
involving a violent crime. I do not have a criminal record (i.e.
misdemeanor or felony) within the past 3 years
I am willing to disclose medical and mental health history that would
affect my ability to mentor a child.
I will attend an in person interview with the GEO Foundation.
I will give consent for GEO Foundation to complete a background, sex
offender and driving record check at my interview.
I will submit 3 personal references.
If accepted into the program I will attend the required training session
and will complete ongoing contacts with Foundation staff.
I am aware that if I am not accepted into the program, the reason of non-
acceptance will not be disclosed.
   
REFERENCES

It is your responsibility to designate three (3) personal references, who will be called by a GEO Foundation staff memeber. Your three (3) personal references must include the following:

  • All must have known you for at least 1 year.
  • At least one of them must have knowledge of your home environment.
  • Only one of them can be a family member, spouse or domestic partner.

*Reference 1 Name:
*Reference 1 Phone:
   
*Reference 2 Name:
*Reference 2 Phone:
   
*Reference 3 Name:
*Reference 3 Phone:
   
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Fall Creek Academy | 2540 N. Capitol Avenue | Indianapolis, IN 46208
Phone: 317-536-1026 | Fax: 317-921-9453 | FCAnfo@fallcreekacademy.org

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