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Ready.Set.READ! Volunteer Registration
Ready.Set.READ! Volunteer Registration
Must be 18 years or older
*
Last Name
*
First Name
*
Address
Address line 2
*
City
*
State
*
Zip Code
Home Phone Number
Cell Phone Number
Work Phone Number
E-mail
Contact Preference
Home phone
Cell phone
Work phone
E-mail
Company
Please indicate if applicable
Certified educator
Retired educator
Related Experience
Do you have a minimum of a high school diploma or GED
Yes
No
Do you speak Spanish
Yes
No
How did you learn about Ready.Set.READ!
Newspaper
Website
Current Volunteer
United Way of Berks County Campaign Meeting
Other - please specify
Please check areas of interest
Program support - assist with assembling program materials between 8 AM - 4 PM
Star Readers - tutor an early grade student 1 hour 1 time/week throughout the school year
Star Readers Partner - tutor an early grade student 1 hour 2 times/month throughout the school year
Read With Me - assist with materials on Wednesday mornings in select Reading Elementary schools
If tutoring, please list up to 3 school districts where you prefer to tutor
Please indicate your general time availability Monday thru Friday
Morning
Afternoon
I understand that the data collected on this form is used to determine an appropriate volunteer placement and information not classified as public data is strictly confidential and will be used only to process the volunteer's placement.
I agree
I understand that if tutoring I will be responsible for the $24.20 cost of the FBI background clearance if I have not lived in PA for the past 10 years
I agree
I declare that the statements made on this application are true, correct and complete to the best of my knowledge
I agree
I agree to be photographed for Ready.Set.READ! purposes
Yes
No
Items marked with an asterisk(*) are required
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