LBN Executive Coordinator Application Form (Winter/Spring 2025)

LBN Executive Coordinator Registration Form
Please note: You may only apply to be an Executive Coordinator if you have experience volunteering as a FULL-TIME Program Coordinator at Learning Buddies Network, as this is a leadership role. You must also be at least 15 years old or in Grade 10 to apply. If you do not meet either of these requirements, you must have one of your teachers fill out a Volunteer Referral Form.

Please only submit one application form per person - do not submit another application on another account, as this interferes with volunteer placement. Thank you for understanding.
In this form, you will enter the following information:
- General information (Name, Date of Birth, Email Address, etc.)
- Education information
- Emergency contact
- Demographic information
- Position Preference (Reading/Math)
- Your availability
- Work and related experience
- Consent to onboarding documents
By checking this box, I confirm I have previous experience as an LBN Program Coordinator.*

I confirm

General Information:
Full Name*

First Name (Legal)Preferred First Name (if different from legal name)Last Name (Legal)
Date of Birth*

MonthDayYear
Date
Age*
Pronouns
Would you like to receive our newsletter by email?*

YesNo
Contact Information:
Phone Number*
Preferred Email Address (for all LBN communications)*

Confirmation Emailexample@example.com
Gmail Address (must contain the word "gmail," as our materials are shared through Google Drive)*

Confirmation Emailexample@gmail.com
Pleas enter a valid Gmail address that contains the characters "@gmail.com"

Education Information:
School Name*
Years Attended (e.g. 2018-2022)*
Major (if applicable)
Are you in at least Grade 10 or above?*

YesNo
If you are not currently enrolled in school, do you plan to return in the future?*

YesNoUnsure

Emergency Contact:
Emergency Contact Name*

First NameLast Name
Emergency Contact Email*
example@example.com
Emergency Contact Number*
Please enter a valid phone number.

Position Preference:
Executive Coordinator Responsibilities and Requirements
Executive Coordinator Responsibilities:
- Complete the Executive Coordinator training
- Attend the coordinator meeting
- Check the LBN training portal for mentors’ training certificates
- Participate in the orientation during the first week of the programs
- Record mentor attendance
- Attend at least 90% of program sessions & lead mentor meetings
- Debrief after each session
- Track Program Coordinator reports
- Complete Executive Coordinator reports
- Guide and provide feedback to Mentors & Program Coordinators
- Oversee and check in on Mentors during sessions
- Provide references for Mentors & Program Coordinators
- Act as a liaison between Learning Buddies Network and the buddies’ families
- Assist in volunteer recruitment
- Respond to emails and Slack messages
Requirements:
- Applicants must be either enrolled in school or planning to attend
- You must be at least 15 years old or in Grade 10 to apply. If you do not meet either of these requirements, you must have one of your teachers fill out a Volunteer Referral Form
- The mandatory training must be completed
- Volunteers must have a criminal record check done before volunteering with children
- Must be located in Canada or the Continental United States
- Executive Coordinators must have previous experience as a Mentor and Program Coordinator as this is a leadership role
Time Commitment
- Around 5-6 hrs/week throughout the program term
- 2-3 hrs total to complete asynchronous training modules
Program Preference
Please select all that apply.
Program Preference Options*

Reading Executive CoordinatorMath Executive Coordinator
Are you a returning executive coordinator?*

YesNo

Work and Related Experience:
The Executive Coordinator position entails working with the other volunteers in a leadership capacity. Please describe your leadership experience and how it applies to the role. Please keep responses under 200 words. If you are a returning EC, you may put N/A.*
If you are a returning EC, you may put N/A.

Please read and sign below:
Note: All the forms below are based on our Volunteer Manual. Please give the manual a thorough read before proceeding with this form.
1) Letter of Understanding
I have read and understood the LBN Volunteer Manual. My signature below indicates that I agree to and will abide by all the standards described herein, and with all other policies and procedures of the Learning Buddies Network of the Lower Mainland Society as communicated to me from time to time.
Volunteer Initial*
By signing, I hereby acknowledge that I understand.
Date*

MonthDayYear
Date

Please read and sign below:
Note: All the forms below are based on our Volunteer Manual.
2) Video Release Agreement
LBN would like the opportunity to take photos and videos of participants for our newsletters or for stories about LBN. Do you (and your parent/guardian, if you are under 18) consent to your inclusion in photos and videos of sessions?*

YesNo
Volunteer Signature*
By signing, I hereby acknowledge that I understand.
Date*

MonthDayYear
Date
Parent Signature
By signing, I hereby acknowledge that I understand.
Date

MonthDayYear
Date

Please read and sign below:
Note: All the forms below are based on our Volunteer Manual.
3) LBN Coordinator Agreement
I understand that LBN can terminate my volunteer engagement should I fail to fulfill my responsibilities as a coordinator and the agreements listed above. By signing below, I agree to the terms of this volunteer agreement.
Volunteer Signature*
By signing, I hereby acknowledge that I understand.
Date*

MonthDayYear
Date
By submitting this application form, I understand what is expected of me and that I will be asked to commit an average of 6 hrs/week to LBN's programs. Attendance at 90% of the sessions is required.*

I understand
Thank you for all your support of our programs. Without volunteers like you, we could not support children who need our services most.

Sincerely,

Owen Fan, Executive Director
owen@learningbuddiesnetwork.com
Please click Review Responses to check your answers on the next page and then click the green "Submit" button to confirm your registration form.
Should be Empty:

	First Choice	Second Choice	Possibly	Unavailable
Monday & Wednesday 3:40-5:10pm
Monday & Wednesday 5:15-6:45pm
Tuesday & Thursday 3:40-5:10pm
Tuesday & Thursday 5:15-6:45pm
Monday 3-5:10pm
Tuesday 3-5:10pm
Wednesday 3-5:10pm
Thursday 3-5:10pm
Friday 3-5:10pm
Tuesday & Thursday 3-4:25 pm (reading only)
Monday 1:30-3:25 pm
Tuesday 1:30-3:25 pm

	First Choice	Second Choice	Third Choice	Possibly	Unavailable
Mosaic Family Centre - Wednesday 4:15-6pm
Sunset Community Centre - Thursday 3:45-5:45pm

	First Choice	Second Choice	Third Choice	Possibly	Unavailable
Kingswood Elementary School - Tuesday 3:15-5pm
Westridge Elementary School - Tuesday 3:15-5pm
David Lloyd George Elementary School - Wednesday 3:15-5pm
Moberly Elementary School - Thursday 3:15-5pm
KB Woodward Elementary School - Thursday 2:30-4:30pm
Clayton Heights Secondary School - Tuesday & Thursday 2:52-4:15pm
Johnston Heights Secondary School - Tuesday & Thursday 2:55-4:00pm
James Whiteside Elementary School - Tuesday 3:15-5:00pm

LBN Executive Coordinator Registration Form

General Information:

Contact Information:

Education Information:

Emergency Contact:

Demographic Information

Position Preference:

Executive Coordinator Responsibilities and Requirements

Time Commitment

Program Preference

Availability:

Work and Related Experience:

Additional Information:

Please read and sign below:

Please read and sign below:

Please read and sign below:

Please click Review Responses to check your answers on the next page and then click the green "Submit" button to confirm your registration form.