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Name

Email

Phone Number

Address

List two references with telephone numbers. (Other than family)
Name: Phone:
Name: Phone:

Reading Center Opportunities (select as many as you would like)

 Golden Rule Child Development Center Simpsonville | Map It
504 Boyd Ave
Simpsonville, SC 29681

 Golden Strip Head Start Simpsonville Community Services Center | Map It
1200 Howard Drive
Simpsonville, SC 29681

 East Greer Child Development Center | Map It
200 Morgan Street
Greer, SC 29651

 Pleasant Valley Early and Head Start | Map It
26 Sherman Lane
Greenville, SC 29605

 YWCA of Greenville | Map It
700 Augusta Street
Greenville, SC 29605

 SHARE Head Start – B | Map It
652 Rutherford Road
Greenville, SC 29609

 Small Smiles Dental Clinic, Pleasantburg Drive | Map It
McAlister Square
225 S. Pleasantburg Drive
Greenville, SC 29607

 Child Developmental Services | Map It
29 North Academy Street
Greenville, SC 29601

 Sunshine House | Map It
6900 Whitehorse Road
Greenville, SC 29611

 Rutherford Road Head Start Center | Map It
1229 Rutherford Road
Greenville, SC 29606

 Other

Community Outreach Opportunities (check all that interest you)
 Bilingual Spanish Speaking Readers and Translators

 Ready 4 Reading Hosted Special Events

 Gently Used Book Drive Coordinators

 Book Sorting Assistants

 Graphic Designer

 Photographer or Videographer

 Special Projects Volunteers

 Office Assistants

 Partner Events and Display Table Volunteers

Early Language Fun with The Cat in the Hat in March
 Planners

 Event Day Volunteers

 Gently Used Book Chair

Describe your previous personal, volunteer or professional experience with children

Have you ever been convicted of a crime other than a traffic violation? If Yes please explain. If No write "NA"

Agreement: I certify that answers given herein are true and complete to the best of my knowledge. I hereby give Ready 4 Reading permission to conduct a criminal background check if appropriate. I understand that Child Care and Head Start Center Readers must: a) pass a SLED Test b) submit a recent TB Test.
I understand that my ability to volunteer is dependent on:
1. a personal interview at time of orientation
2. background clearance for center reading
3. completion of training appropriate to the volunteer role
4. reading the Volunteer Manual and signing a release form about it
I Agree.