Study Buddies Female Student Volunteer Info 2023 (High School or College)

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Thank you for your interest in serving as a Big Buddy with the After School Buddies "Study Buddies" program for 2023. PLEASE complete this short form ASAP so that you can be invited to participate!! Study Buddies meetings are held at Antioch Church on the corner of 6th and Clay Streets in Bend across the street from Bend Senior High School.

PLEASE CLICK THE SUBMIT BUTTON when you have completed answering the questions. You s receive a message saying the form was submitted.

Email *

First & Last Name *

Cell Phone # *

Home address with ZIP code *

What school do you attend? *

What grade are you in or what major are you pursuing (if attending college/university)? *

If attending college/university - what course are you taking that influenced you to volunteer for Study Buddies?

Emergency Contact Person's Name *

Emergency Person Cell # *

Why do you want to serve as a Big Buddy with ASB?

Describe any experience(s) you have had working with elementary or middle school children.

Personal Reference - If you know of a teacher or other person who can attest to your fitness to be a mentor for a young child, please list their name and organization.

When is your birthday? *

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