Read qualifications and training before filling in this form. Questions? Contact us.

* Required

Contact Info

About You

Highest level completed
Select any other volunteer opportunities you might be interested in.
List your affiliations with any clubs or organizations.

Time Availability

 MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Morning
Afternoon
Evening

Tutor Match Preferences

For example, if you do not have a car or prefer not to drive at night, etc.

Authorization

Important note: Our adult learners come from a variety of backgrounds. Learners may be referred to the program by an Oregon jobs pro-gram, a probation officer, a recovery program, etc. Learners may request that this information be kept confidential.

All information provided to Gorge Literacy by you and by your learner(s) is considered confidential. By submitting this form, you acknowledge that you understand this policy.

The Dalles Campus

Allowed file types: gif, jpg, png, txt, rtf, pdf, doc, docx, xls, xlsx, zip Maximum file size: 800 KB
Files must be less than 800 KB.
Allowed file types: gif jpg png txt rtf odf pdf doc docx ppt pptx xls xlsx gz sit tar zip.
June 4th at 5:30
Shared Voices Book Release - The Dalles

You are invited to the book release and signing at The Dalles-Wasco County Library. New and returning writers will be reading their submissions and signing books.

Shared Voices, A New Writers' Collection X cover

Since 2001, Gorge Literacy has been publishing Shared Voices, an annual collection of writings by Columbia Gorge Community College (CGCC) student authors.

* Required

Submit Your Writing

Type or upload your writing below or mail or deliver to Gorge Literacy.

If you would like to submit your writing anonymously, just type "anonymous" in this space. Otherwise, please type your name as you would like it to appear in Shared Voices.
Please include your mailing address so we can send you an invitation to the book release event, or send you a free copy of Shared Voices if you are not able to attend.
To avoid losing your work, compose your writing using a word processing program, then copy and paste the text here.

Maximum 1,000 words

Files must be less than 800 KB.
Allowed file types: txt odf pdf doc docx.

Join the CGCC Child Care Partners network of providers by filling in the form below. Once enrolled, parents can be referred to your program. Contact us if you have any questions. * Required

Contact Info

About Your Business

When did you first start providing child care serviced?

License Type

Openings and Capacity

Children's Age Range Served

From
To

Number of Current Openings

6 weeks - 1 year old
1 - 2 years old
2 - 6 years old
Kindergarten and up
(exclude your own children)

Hours

Hours of Operation

From
To

Extended Hours (Select all you accept on a regular basis or are willing to consider)

Rates

 Full-timePart-timeFull-timePart-timeFull-timePart-time
Infants 6 weeks to 1 yr
Toddler, 1 yr to 2 yr
Preschool, 2 yr to 5 yr
Kindergarten and up

Facilities and Services

Select the ethnicity you most relate to or most requested by current staff.
List all schools to which you do or are willing to transport children.
Mark ones you have knowledge of and/or experience with and are willing to accept in your program.

Education, Training and Skills

Accreditations and Affiliations

For information on these agencies, contact Child Care Partners.
Indicate what steps have been achieved by staff or yourself.

Terms and Conditions

I understand that Child Care Partners (CCP), Columbia Gorge Community College, only makes referrals, not recommendations to families.

I agree to assist CCP in maintaining up to date information on child care availability by reporting changes in my Child Care home/business when they occur.

I give CCP permission to release the information on this form to parents seeking child care services.

In addition, CCP occasionally releases the names and addresses of listed providers to carefully screened child care related agencies and organizations. Unless otherwise indicated, I give CCP permission to release my name and address to such agencies and organizations.

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