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Home
How You Can Help
Application for Volunteer Service
Application for Volunteer Service
Tell us about yourself:
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Today's Date:
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First Name:
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Last Name:
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Street Address:
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Address Line 2:
City:
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State:
CONNECTICUT
ZIP Code:
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Home Phone:
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Work Phone:
Cell Phone:
Email:
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Age Range:
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Choose…
Under 15
16-21
22-45
46-65
Over 65
Previous Employer:
Current Employer:
Person to notify in an emergency:
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How did you hear about Read to Grow?
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Education level reached:
If other, please specify:
Please list any languages you are fluent in other than English:
Have you had any prior volunteer experience?
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If yes, please explain:
Volunteer Jobs — Please indicate all the areas in which you are interested in volunteering
(select all that apply):
Office / Computer Work
Prepare mailings
Assemble program materials
Data entry
Development/grant work
Books for Kids
Count and sort donated books
Pick up and deliver books
Pack book requests
Books for Babies
Visit with families (trained through Hospital Volunteer Services)
Assemble baby packets
Special Events
Assist with special events
Staff special events
Are you willing to be called in on short notice?
Yes
No
Do you have any physical or psychological conditions or handicap that may affect your ability to perform certain volunteer assignments?
Yes
No
If yes, please explain:
Do you have any lifting restrictions?
Yes
No
If yes, please explain:
Have you even been convicted of a crime?
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No
Phone
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