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* 1. Name (First & Last)

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* 2. Contact Information

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* 3. Date of Birth

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* 4. Gender

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* 5. Education

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* 6. Major or Prospective Major

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* 7. How did you hear about this opportunity? (if a person, please let us know their name)

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* 8. Did you volunteer with eBookBuddy in summer 2020?

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* 9. What days/times are you available for sessions? (Select any that work in your schedule)

  4:00 4:30 5:00 5:30
Monday & Wednesday
Tuesday & Thursday

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* 10. Preferred Grade

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* 11. Do you have a computer with a camera?

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* 12. Do you speak fluent Spanish?

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* 13. Please check characteristics that apply to you

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* 14. Please tell us your experience working with kids (in what capacity):

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* 15. Please share your reasons and desires to be a volunteer in literacy with at risk kids.

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* 16. Other reason(s) to be involved with eBookBuddy (if applicable)

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* 17. 1 Reference

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* 18. Parental Consent for Volunteers Under the Age of 18.

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* 19. Upon acceptance as a volunteer, for safety and protocol, do you have a reservation for us to do a background check?

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* 20. I understand the responsibilities of being a volunteer and will discharge these duties to the best of my abilities. Please initial your name if you agree.

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* 21. All statements are true to my ability, I give permission for Catalyst to contact my references, and release any liabilities in working with Catalyst and Chesney Elementary school. Please Initial your name if you agree.

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