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Story Time at Baby Bump and Beyond
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Story Time Volunteer Application
Story Time Volunteer Application
*
Indicates a required field
First Name:
*
Last Name:
*
Home Address:
*
Please list your FULL address
Confirmed IQ Test Results:
*
Phone Number:
*
xxx-xxx-xxxx
Email Address:
*
Are you under 18 years old?:
*
Yes
No
Reasons for volunteering for Story Time:
Background:
Community Service Experience:
If you are multilingual, what languages do you speak?:
How did you find out about this program?:
Social Media
ISU class
Friend
Newsletter
Raising Readers in Story County website
Other
* If ISU class or Other, please specify:
Specific class name and instructor
What do you hope to gain from this volunteer experience?:
In case of emergency, please list two (2) emergency contacts:
*
Name, Phone Number, and Email
Photo Consent Agreement 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.:
*
Yes
No
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.
*
Yes
No
Birthdate:
*
(mo/da/year)
Home Address since 2016:
*
We need three years of home addresses for background check. Write 'same' if address has not changed.
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Small Talk LENA Start
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