45 Bristol Street, New Haven, CT 06511 information@newhavenreads.org 203-752-1923

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Volunteer Application

203-752-1923

45 Bristol St., New Haven, CT 06511

www.newhavenreads.org

volunteer@newhavenreads.org

Name (required):

Address (required):

City (required):

State (required):

Zip Code (required):

Email (required):

Home Phone (required, or N/A):

Cell Phone:

Emergency Contact Information, Name (required):

Relationship:

Phone:

In which area(s) would you prefer to volunteer? Check all that apply.

Book BankHomework TableTutoringSubstitute TutoringField Trip Reader

Book Bank Volunteer Hours: Mon. to Wed. 12-4 pm and Thurs. to Fri. 12-3 pm

Homework Table Hours: Mon. to Thurs. 2-3 pm

Tutoring Hours: Mon. to Wed. 3-7 pm and Thurs. to Fri. 3-6 pm

Substitute Tutoring Hours: Mon. to Wed. 3-7 pm and Thurs. to Fri. 3-6 pm

Field Trip Reader Thurs. and Fri. 9:45-11:15 am

Please check the days and times you are available to volunteer.

Monday:	12-1 PM1-2 PM2-3 PM3-4 PM4-5 PM5-6 PM6-7 PM
Tuesday	12-1 PM1-2 PM2-3 PM3-4 PM4-5 PM5-6 PM6-7 PM
Wednesday:	12-1 PM1-2 PM2-3 PM3-4 PM4-5 PM5-6 PM6-7 PM
Thursday:	12-1 PM1-2 PM2-3 PM3-4 PM4-5 PM5-6 PM
Friday:	12-1 PM1-2 PM2-3 PM3-4 PM4-5 PM5-6 PM
Saturday:	10AM-1111AM-12 PM12-1 PM1-2 PM

Total number of hours you would like to volunteer per week.

Education

Please indicate your highest level of education.

Some High School

FreshmanSophomoreJuniorSenior

High School Diploma/GED

Some College

FreshmanSophomoreJuniorSenior

Associate's Degree

Field of Study:

Bachelor's Degree

Field of Study:

Master's/Graduate Degree

Field of Study:

Doctorate

Field of Study:

Other school/degrees/certificates

If you are a high school student, will you be fulfilling community service hours by volunteering with NHR? (required)

YesNoN/A

If you responded "yes," how many hours total will you need to fulfill your requirement?

Experience

Employment Status (required):
Part-TimeFull-TimeUnemployedStudentRetired

Current/Most Recent Employer

Job Title/Occupation.

Previous employment and/or volunteer positions.

List any tutoring, mentoring, or education experience.

Do you speak an additional language?

Please list any organizations to which you belong (i.e. Rotary Club, Bar Association, Eagle Scouts, etc.

Do you have any physical limitations (i.e. cannot lift over 20 pounds) (required)?

References

Please provide contact information for two references (non-family) (required).

Book Bank Hours

Mon – Wed 1 – 7 PM
Thur 1 – 6 PM
Fri 12 – 6 PM
Sat 10 AM – 2 PM

45 Bristol Street
New Haven, CT 06511

203-752-1923

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Our Mission

New Haven Reads increases the literacy skills of children by providing individually tailored one-on-one after school tutoring, educational family support, and a community book bank, all at no cost to participants.

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