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UWPC Reading Buddies Application
1.
First and Last Name
2.
Address
3.
Contact Number
4.
Email Address
5.
Emergency Contact (Name, contact number + relation)
6.
How did you hear about this volunteer opportunity?
7.
Why are you interested in becoming a Reading Buddy?
8.
What days are you available to volunteer? Please note that the program only runs Mon-Fri. (Select all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
9.
Please share the time of your availability? (Please specify if different days require different times) Please note that the Reading Buddy volunteer hours are between 9am-2pm only.
10.
Do you require any special accommodation in order to volunteer?
11.
Are you looking for internship credit?
Yes
No
12.
Have you ever been convicted of a crime? (Please note that all Reading Buddies volunteers need to have background checks and be finger printed.)
Yes
No
13.
Reference #1 (Name, contact number and email)
14.
Is there anything else you'd like us to know?
