Volunteer Coach Application
Please complete this form & someone from Ashland Adult Literacy will be in contact about volunteering. Thank you!
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Name (first, middle & last) *
Address
Phone *
Email
What is the best way to reach you?  *
Are you able to commit to literacy coaching 2 hours / week? *
What days/times are you available to coach?  *
At which libraries would you be able to meet your student?
Is there anything else you would like us to know about you serving as a volunteer coach with Ashland Adult Literacy? 
Do you have experience with teaching? If so, please explain. *
What are your hobbies/interests? What do you like to do in your free time? 
What is the highest level of education you have completed? 
Please check the volunteer areas of interest:
List two people (not relatives) as reference for you, include a phone number or email.   *

I certify that all statements made in this application are true, complete and correct.

I understand any information provided by me found to be false, incomplete, or misrepresented in any respect, will be sufficient cause to 1) cancel further consideration as a volunteer coach 2) immediately discharge me from my volunteer position, whenever discovered.  

I expressly authorize, without reservation, Ashland Adult Literacy, its representatives, employees or agents to contact and obtain information from listed references.

I understand that Ashland Adult Literacy does not unlawfully discriminate in volunteer positions and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for volunteering on a basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only ninety (90) days.

This application does not constitute an agreement or contract for any specified period or definite duration. I understand if accepted as a volunteer, I fall under the same “at will” status as regular City of Ashland employees.  Therefore, my volunteer position can be eliminated based on the sole discretion of the library administration.  If I am offered a volunteer position, I agree to provide my Driver’s License number for a background check.

By entering my name below, I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement. 


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