Volunteer Application

If you are willing to become a Lead and Read Program mentor, please provide the information below:

Name *

Contact Person *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Cell Phone *

Home Phone

Email Address #1 *

Email Address #2

Favorite Books/Reading Materials/Hobbies or Activities *

Hours of availability *

What age group are you most comfortable working with *

Start Date *

Month *

Day *

Year *

End Date *

Month *

Day *

Year *

Do You Have Clearence? *

Credit / Debit Card *

Donations

USD

Please complete student application to the Lead and Read Reading Program: Synergytrainingsolutions.Org, or mail it to Synergy Training Solutions, Read and Lead Program, 109 N Graham Street, Suite 106, Chapel Hill, NC 27516. Contact us: 919-274-2370