Literacy Now Volunteer Application
Thank you for your interest in volunteering with Literacy Now!
Contact & Demographic Information
First Name
Last Name
Email
Phone
Date of birth
Have you volunteered with Literacy Now in the past?
Yes
No
If 'yes,' what year(s)?
What language(s) do you speak fluently?
English
Spanish
Vietnamese
Chinese
Arabic
Other
Ethnicity
Black/African American
White/Caucasian
Asian
Hispanic/Latino
Other
Please specify any additional language(s):
Gender Identity
Please select...
Female
Male
Prefer not to answer
Address
Street
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Postal Code
Mailing Address (if different than above)
Street
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Postal Code
Affiliations
What are your connections with Literacy Now when it comes to volunteering?
I am an individual volunteer
I am volunteering with a charitable group/organization
I am associated with a company who has a relationship with Literacy Now
Charitable Organization
Which charitable organization are you affiliated with?
Please select...
Houston Junior Forum
Literacy Now Guild
National Charity League
Other
If 'other,' please name your charitable organization:
Company Information
Which company are you affiliated with?
Please select...
Freudenberg Oil & Gas Technologies
Lockwood, Andrews, and Newman
Other
New Company Information
Company Name
Street Address
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Postal Code
Media Agreement
I hereby grant permission for
Literacy Now
to photograph, interview, or videotape me. It is my understanding that this photograph/interview/taping, or portions thereof, may be used for public view (newspaper articles, printed promotional materials, slide shows, television programs, or on the
Literacy Now
website.
Yes, I agree
How did you hear about Literacy Now?
Volunteer Preferences
How frequently would you like to volunteer?
Weekly
Monthly
As needed
Which opportunities are you interested in?
Administrative tasks
Book/supply distribution
Houston Reads Day event
Group Storytime (formerly known as Literacy Enrichment Events)
Lunch Bunch
Organizing a Book Drive
Reading Express
Story Swap Library
Young Professionals
Pre & Post Event support
Do you have volunteer experience?
Yes
No
Do you have experience working with children?
Yes
No
Please describe your volunteer experience
Please list the days and times you are generally available
Do you have any physical needs that require special arrangements?
Yes
No
Please explain any special arrangements necessary
Skills and Expertise
Mentoring
Teaching
Tutoring
Administrative tasks
Website design
Blog writing
Social media
Other
Please List any special skills, talents and or expertise
Please provide any additional information that might be pertinent to your volunteer application.
Contact Information