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Volunteer Application

Contact Information

		If your company is not listed as a partner below, please select Community Volunteer
Read To Child Location		Select Company:
First Name		Preferred Name for Nametag
Last Name
Work Phone		Mobile Phone
Primary Email		Personal Email
Home Address		Home City
Home State		Home Zip Code
How did you hear about Read to a Child?

Tell Us About Yourself

	Please enter birthdate in mm/dd/yyyy format.
New or Returning Volunteer	Date of Birth	[ 2/6/2023 ]
Race	Are you Hispanic, Latino, or Spanish?
If Other, please specify race
Gender	What are your pronouns?
If Other, please specify gender	If Other, please specify pronouns
Are you a veteran?	Do you identify as LGBTQ+?
Do you have a disability?
Company If Not Listed Above	Your Position
Work Address	Work City
Work State	Work Zip Code

Reference Information

Reference 1 - Name		Reference 1 - Phone
Reference 2 - Name		Reference 2 - Phone

Volunteering Preferences

Child Gender Preference
I want to alternate w/ another volunteer		Alternate Reader
NOTE: Your alternate must also complete a volunteer application.
School Selection:		Select Preferred Reading Day:
Other possible days		Do you have any restrictions with regard to the time of day of your reading session (times can vary)? If so, please explain here
Pick 1 - Virtual/ In-Person Availability		Level of Experience w/ Elem Sch Children
Add'l Comments

I understand and agree to abide by the Read to a Child Read Aloud Mentoring Program policies. Click Here to Review Policies
I will represent Read to a Child with professional demeanor.
I will inform Read to a Child if there is a change in my schedule, employment status, or contact information.
I give Read to a Child and its partners permission to use photographs taken of me during reading sessions to
publicize and promote the Read Aloud Mentoring program.

We try our best to accommodate volunteer preferences. However, be aware that sometimes we are limited by factors out of our control.

Sun	Mon	Tue	Wed	Thu	Fri	Sat

Help a Child Today!

Volunteer Application

Contact Information

Tell Us About Yourself

Reference Information

Volunteering Preferences