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Volunteer Application: Online Form

11555 Sorrento Valley Road
Suite 203
San Diego, CA 92121

Telephone (858) 481-7323
Fax (858) 481-9489
Email volunteer@unitedthroughreading.org

Please provide all the following information:

Name
Birth Date:
Gender Male       Female
E-mail
Street Address
City
State
Zip code
Home ( )
Work ( )
FAX ( )

What type of work are you looking for?
1. One time only  Ongoing (weekly or monthly)

2. Admininstrative   Hands-on With Programs

Do you speak any language other that English?
No
Yes  -- If "yes" what language(s)

Transportation

I have my own transportation and can travel to venues in:
(Check all that apply)
North County
Downtown & South County
East County
County Wide

Please list any past experience with children or teens (volunteer or for pay):
Ages of your children:
(if applicable)



Educational background:
High School
College
Other

Employment Information: (if applicable)
Company Name
Company Address
Position Title
Work Schedule Part Time     Full Time

Names and Phone numbers of two personal references
Name
Phone Number
Relationship to person
List program preference, if you have one (1st, 2nd and 3rd)
Program Choice 1 Choice 2 Choice 3
Inmate Program
Military Program
Grandparents' Program
General, Administrative
I'll help where I am needed

What times and days are you available to volunteer?

Describe what qualities you possess and how they would benefit United Through Reading.
(If you are familiar with our programs, you can focus your response.)

THANK YOU!!!

I do hereby agree to indemnify and hold harmless United Through Reading, its employees, volunteers or agents from any and all claims or causes of action that may arise out of performance of my assigned duties as a volunteer. I waive any right of action I have against United Through Reading in consideration of my participation as a volunteer for United Through Reading.

During the course of volunteering with United Through Reading, I will be exposed to concepts, ideas, methods, techniques, materials and data that have been developed by and/or presented in a certain format by United Through Reading. As a condition of volunteering, I understand that I am required not to use the information outside of the scope of my volunteer duties with the Foundation.

I hereby authorize the United Through Reading, a California nonprofit corporation, to take photographs and videos depicting me either alone or in a group. Moreover, I hereby give said United Through Reading the right to use, reproduce, adapt, display, and/or distribute copies of the photographs and videos for any purpose whatsoever related to the business and educational activities of the United Through Reading and in all media of expression.

I understand that making any false statement on this application will be sufficient for discharge. I hereby guarantee the correctness of the above statements. I hereby authorize you to contact my references. I understand that this is an application only and not a guarantee of a position.

I have read the above and:

I Agree  I Do Not Agree

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