Tutor Application and Workshop Registration Form

Class sizes are limited so register early for the workshop of your choice. Your workshop registration will be confirmed after submitting the required online information below. Note: Only one person at a time may register online.

Application Information:

Demographic Information (for statistical purposes):

16-20

21-24

25-34

35-44

45-59

60+

White

Black

Hispanic

Asian

American Indian

Other

12 years

12-14 years

16 years

16+ years

Television

Radio

Family/Friend

Employer

Newspaper

Library

Literacy Organization

Agency

Poster/Flyer

Special Event

PR Talk

Web Site

Full-time

Part-time

Unemployed

Disabled

Retired

Professional

Managerial

Clerical

Technical

Service

Homemaker

Sales

Student

Agriculture

Registration Information:
Workshop Selection

Daytime

Evening

Weekday

Weekend

You will not be registered until you complete the payment process.

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