Reading Buddy Program

STEP 1: Please complete one signup form per person.

*Please use Firefox, Chrome or Safari. If you have any technical questions, please contact web@universitycarillon.net.

CONTACT INFO

First Name

Last Name

Cell

Email **used for communication and confirmation emails - check for typos**

AUTISTIC STUDENTS

Are you interested in working with Autistic Students?

Yes

If YES, please fill out the following section for preferred days/times/grades. Otherwise, skip to the next section.

Please note your availability/preferred grade level, day & time.

Have you completed the ADDitions Volunteer Application for this school year?

Yes

*This must be filled out each school year. LINK to sign up now.

I speak Spanish and am willing to assist Spanish speaking students

Yes

Do you have a particular teacher you would like to serve (if possible)?

Yes

Additional information we may need.

*RELEASE

Submitting this on-line form will be the equivalent of signing a paper registration form.

I have read and understand the above information. The information I have given University Carillon is accurate and true to the best of my knowledge.
My electronic signature signifies my understanding that submitting this online form will be the equivalent of signing a paper registration form.

Release

Yes, I agree

Electronic Signature

Date Electronically Signed

When this form is processed, you will receive a confirmation email. Thank you!

READING BUDDY PROGRAM 2021-2022