Raising Readers in Story County

2019-20 ACPC Reading Buddies Volunteer Application

Thank you for your interest in volunteering for ACPC Reading Buddies. The program takes place October through April each Monday and Tuesday morning from 9:00am-10:00am. Please fill out the following application form to assist with this beneficial program!

Contact Lisa at director@raising-readers.org or 515-520-8686 for additional information or with any questions you may have.

* Indicates a required field
*  Please list your FULL address
*  xxx-xxx-xxxx
Are you an ISU student, faculty, or staff?:
Are you under 18 years old?:
Are you a current or retired elementary school teacher?:
*  Name, Phone Number, and Email
Where/How did you find out about our ACPC Reading Buddies program?:
Avaliability Section
ACPC Reading Buddies
ACPC Reading Buddies:
 920 Carroll Ave, Ames
Would you be willing to serve as a substitute volunteer?:

I am an Iowa State student and can only volunteer for one semester:

Photo Consent Form
I hereby consent that photographs, video, and/or interview information of me by RRSC staff or agents or by members of the news media may be used by them for the purpose of illustration, teaching, publicity or publication in any form.:
Background Check
I give permission for RRSC to perform a background check before my volunteer application is accepted and agree that all information submitted is accurate.:
 You cannot volunteer with this program without a cleared background check.
*  (mo/da/year)
*  We need three years of home addresses for background check. Write 'same' if address has not changed.

Please make sure you hit 'Submit' to finalize your application. Thank you!

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