Literacy Volunteer Application

Rochester Jewish Coalition for Literacy

Thank you for your interest in volunteering with the Rochester Jewish Coalition for Literacy! Please complete the following form to register for the school year.
Name *

First Name Middle Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Birth Date

Month Day Year
Email *
Phone Number *

Area Code Phone Number
Are you a new or returning volunteer? *

New Returning
Please indicate your preferred school(s) *

Rochester International Academy (1 Edgerton Park) School #5 (555 N. Plymouth Avenue) School #12 (999 South Avenue) School #23 (170 Barrington Street) School #25 (965 N. Goodman Street) School #28 (450 Humboldt Street) School #35 (194 Field Street) School #45 (1445 Clifford Avenue) Urban Choice Charter School (545 Humboldt Street) No preference
Grad level(s) with which you would like to work:

K 1 2 3 4 5 6 No preference
Your Availability (example - Monday - Friday 9am - 2pm)
Are you fluent in a language other than English?
If yes, please specify
Do you have any questions or comments?
Should be Empty:

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