Exit Tutor placement survey Question Title * Welcome! You have reached the AmeriCorps Senior Virtual Math Tutoring Program! We want to know a little bit about you so that we can match you to the best possible student in need of support, and give you the right support as you are working with your student tutee. Please answer the following questions. Question Title * How did you hear about this opportunity? Radio Billboard Facebook ad Google ad TV ad Friend referred me An organisation I belong to My place of Worship My living community meeting Other Other (please specify) Question Title * What is your full legal FIRST name? Question Title * What is your full legal MIDDLE name OR INITIAL, as it appears on your government issued ID? Question Title * What is your full legal LAST name? Question Title * What name do you prefer to be called? Question Title * What is your mailing address, INCLUDING city and state ? Question Title * What is your mailing ZIP Code? Question Title * What is the best phone number at which to reach you? Include area code please. Question Title * This program tutors mathematics in grades 3 or grade 4. Do you have any experience tutoring at these grade levels? (Lack of experience tutoring does not disqualify you from serving in this position) Question Title * What is the best email address we can contact you at? Question Title * Briefly, why are you interested in becoming a tutor for this program? Question Title * What online meeting tools are you familiar with? Choose all options that apply. I’ve heard of it I’ve watched someone use it I’ve attended a meeting in this type of meeting I’ve run a meeting using this platform Zoom Zoom I’ve heard of it Zoom I’ve watched someone use it Zoom I’ve attended a meeting in this type of meeting Zoom I’ve run a meeting using this platform Google Meet Google Meet I’ve heard of it Google Meet I’ve watched someone use it Google Meet I’ve attended a meeting in this type of meeting Google Meet I’ve run a meeting using this platform Microsoft Teams Microsoft Teams I’ve heard of it Microsoft Teams I’ve watched someone use it Microsoft Teams I’ve attended a meeting in this type of meeting Microsoft Teams I’ve run a meeting using this platform Question Title * During COVID-19 stay-at-home, did you use any of these services? Über Eats Instacart Chow Now DoorDash GrubHub Other on-demand delivery service Question Title * In what language do you speak most often? Arabic Armenian Chinese English French French Creole German Greek Gujarati Hindi Italian Japanese Korean Persian Polish Portuguese Russian Spanish Tagalog Urdu Vietnamese Other (please specify) Question Title * Do you speak any other languages besides English? No, just English Other (please specify) Question Title * Do you currently experience any of the following: (If you experience any of the following, it in no way disqualifies you! This program is completely virtual so all answers are acceptable!) Limited mobility I am home bound I don’t want to mix with the public because of Covid I’d rather not leave my house for personal reasons I don’t drive but I would still like to serve I need to be at home to take care of someone Other (please specify) Question Title * Do you own or have access to an iPad, chromebook or other type of writing tablet? Yes No Question Title * If you own or have access to an iPad, Chromebook, or other type of writing tablet, please identify what device it is: iPad Chromebook Amazon Fire HD Microsoft surface I do not have access to our own any of these devices Other (please specify) Question Title * The device I own or have access to is specifically: Next
