VOLUNTEER APPLICATION

Describe any special interests which may be helpful in matching you with a student(s): (i.e., sports,

Please initial the following two statements if you are volunteering for the Read Georgia Program:

I, the undersigned, hereby state that I am voluntarily submitting this application for participation in the Read Georgia volunteer program. If accepted as a volunteer, I agree to abide by the rules and regulations of the program which may be promoted by other entities such as school districts, etc., applicable to the program. Further, I hereby fully discharge affiliates, employees, officers, directors, and agents thereof from any and all liability claim and causes of action which may be attributable to my participation in the Read Georgia volunteer program. I authorize Read Georgia to do a criminal check as part of the SafeWatch training before I am allowed to volunteer with them.

I have read the above Release Statement and agree to its contents.

On the chart below please indicate the days and times you will be able to volunteer.

Please keep the following things in mind when listing your availability:

• We ask that you be able to devote at least one (preferably two) 60-minute sessions each week with your students.
• Remember that it is important to be on time; tutoring is part of the child’s daily schedule.
• Remember that consistency is important to children. Please choose a time slot when you will be able to consistently volunteer.
• If you are able to volunteer on more than one day each week, or for more than one 60-minute session each day, please share that in the notes section.