VOLUNTEER TUTOR APPLICATION FORM COHORT 5

Focus Liverpool Children with Autism Saturday Club

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100% of survey complete.

This application is to register your interest as a 1:1 Volunteer ABA Tutor. Training will be provided and full ongoing support.

You must be available for the following dates:-

Interviews and DBS checks 25th February -

4th March - Tutor Training, Day 1 - 9.30-3.30pm

11th March - Focus Week 1.

12th March - Tutor Training, Day 2

18th March - Week 2

25th March - week 3

1st April - week 4

8th April - week 5

15th April - Off for Easter

22nd April - Week 6

29th April - Week 7

6th May - Week 8

13th May - Week 9

20th May - Week 10

Question Title

* 1. Contact details

Name

Company/Occupation

Address

Address 2

City/Town

County

Post Code

Email Address

Phone Number

Question Title

* 2. Which Sector are you from? (answer as appropriate)

VOLUNTARY - Please state which familie(s) you are working with (if known)

LOCAL AUTHORITY - Please state

PARENT - Please state which LA you are in

NEW TUTOR - Please state which familie(s) you are working with

OTHER - Please State

Question Title

* 3. Please note any date's your unavailable

Submission of application form is not confirmation of a place. Your place will be confirmed as soon as possible after your application has been received.