Hooked on Books Volunteer Registration

Thank you for your interest in becoming a Reading Pal for Neighborhood Art House children. Please fill out the form below or download a form that you can print and submit. After your application is processed, a reading supervisor will provide orientation materials and additional information about the program.

Personal Information

Full Name: *

Organization:

Address: *

City/State/Zip: *

Email: *

Phone: *

Personal Reference

Reference Name: *

Relationship: *

Address: *

Please include street, city, state, and zip.

Phone: *

Format: xxx-xxx-xxxx

Availability

When would you like to be a reading pal?:

Fall Session: September - December
Winter/Spring Session: January - May
Summer Session : 12:05-12:35pm

What days and times?:

Check all that apply.

Tuesday 3:00-3:45
Tuesday 3:45-4:30
Wednesday 3:00-3:45
Wednesday 3:45-4:30
Thursday 3:00-3:45
Thursday 3:45-4:30

I will not be available on:

List day(s).