St. Therese of Lisieux

102 W. Randolph St., Lansing, MI

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Open Doors Tutor e-Registration

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  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone # REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Email REQUIRED
  If you notice that your submission needs changing, please contact Dave Borzenski at the enclosed e-mail address or at (517) 331-5765. Thank you.
  Please fill out this field. Please enter an email address.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Date of Birth REQUIRED
  Though we welcome volunteer tutors of high school age, you must be 18 years old or older to independently volunteer to be a tutor. If you are younger than 18, we will seek your parent's approval and waiver.
  Please fill out this field. Please enter a date.
  
  Emergency Contact: Name REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact: Best Phone # REQUIRED Please fill out this field. Please enter valid data.
  
  Parent's E-Mail Address REQUIRED Please fill out this field.
  
  My Availability
  
  Please Indicate Which Days You Are Available to Tutor Modays Wednesdays Both Mondays and Wednesdays
  
  Thank you for considering service as a tutor in St. Therese Parish's Open Doors Tutoring Program. We feel most fortunate that you would consider us as your way to help children gain the education they will need to be the best that they can be.
  Before you begin tutoring, you will need to:
  
  Undergo a MI State Police Background Check
  
  Become Virtus certified (through virtusonline.org), a training lesson for the Protection of Children
  
  Sign the Code of Volunteer Conduct of the Catholic Diocese of Lansing
  
  Submit
  
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