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?:

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

What week or weeks ?:

Check all that apply.

Week 1: June 24 - June 28
Week 2: July 1 - July 5 (Not on Thursday, Independence Day)
Week 3: July 8 - July 12
Week 4: July 15 - July 19
Week 5: July 22- July 26

I will not be available on:

List day(s).