Seacoast Reads Volunteer Application Form

You will be placed pending a Background Check and the reference checks you provided. 

Email *
Name *
First and last name
UNH Email *
Phone number *
UNH ID *
Local Address *
Permanent Address *
Year in school  *
Graduation Date *
Major *
Are you NEW to Seacoast Reads or a RETURNING* volunteer?
*
Are you enrolled in EDUC 506?
 *
IF RETURNING: # of semesters you have been a Reading Buddy with Seacoast Reads
 *
If possible, would you like to have the same buddy as last semester? If so, write the school, as well as the day and time you mentored.  If no, write no!
 *
Do you have access to a car for transportation?
 *
Would you be willing to drive other volunteers in your insured vehicle? If Yes, how many. If No, type 0.
*

Schedule: Put a ✔ in the blocks below when you could be available each day. Meeting times with students last 45 minutes. Times below include travel to and from campus. If you have a commitment just before or after the time selected, please note that so we can account for travel pickup and drop offs. 

*It is better for the children when Reading Buddies meet with them two times a week, but we understand that for some people, that may not be possible. Please indicate below whether you are able to meet twice a week this semester.  Please contact us immediately if anything changes.   Thanks! 

Monday
Tuesday
Wednesday
Thursday
Friday
8:30am - 10:30am
9:00 am - 11:00am
10:00am - 12:00pm
11:00am - 1:00pm
1:00pm - 3:00pm
2:30pm - 5:00pm
*Placements in this time slot are for after school programs.  While the students in such programs are sometimes less consistent, they are also the students most in need of valuable, positive relationships.  If you have reservations about such a placement, please explain in the space below. 
 *
Pen Pals: Are you interested in being a pen pal with a student in addition to meeting in person or if you cannot meet in person?
*
Orientation Dates: All applicants please check ONE orientation option that works for you.  Please put this time in your calendar so you don’t forget! 
 *
Required
References: (NEW Reading Buddies only.) Please provide two professional references (e.g., former employers, hall directors, professors, etc.). Please do not list roommates, family members, or friends.  

Include First & Last Name, Email, Company, Phone number, and their relationship to you
 *
Personal Statement: (NEW Reading Buddies only..type N/A if returning.) Why are you interested in working with Seacoast Reads? List some personal experiences, skills, educational training, and/or community activities that tell us about yourself.  (Attach an additional sheet if necessary.)  
 *
How did you hear about us?
 *
Background Check: Check yes or no for the next 3 questions

1) I am in good standing with the university and agree to permit Seacoast Reads to verify this through my academic and judicial records.
 *
2) I am willing to provide documentation of automobile liability coverage if applicable.
 *
3)  I am willing to submit to a police background check if required by the school district. *
Signature  *
Submit
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