Volunteer Registration If you have questions about volunteering, please contact us online or at 904-330-3962. Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Company/Community Organization*If you are a community volunteer, please input "Community Volunteer."Phone*Email* Volunteer Opportunity:*Select OneReadingPalAchievers For Life MentorRealSense Volunteer2-1-1 VolunteerCommunity Impact Fund Investment VolunteerCustom MatchRealSense volunteers register on a different website. If you would like to volunteer for RealSense: View Opportunities or Register NowAny comments or questions: ReadingPal ApplicationBecause volunteers supervise children, all ReadingPals MUST be 18 or older.Are you a new or returning ReadingPal?*Select one.New volunteerReturning volunteerThe Children’s Movement information:*Our biggest partner in the creation of ReadingPals has been The Children’s Movement, a nonprofit that advocates for increased investment in the earliest years of a child’s life. Through your volunteer opportunities we hope you begin to understand the need to build a real “Movement” for children in Florida. In the pursuit of just that, you will be receiving updates directly from The Children’s Movement on what is happening in the area of early education. You may opt out if you do not wish to receive these communications.Opt inOpt outNew Volunteer ApplicationWhich days are you available to volunteer each week?* Monday Tuesday Wednesday Thursday Friday What times are you available to volunteer?* Mornings (9:00 to 11:00) Afternoons (1:30 to 4:30) Where would you like to volunteer?*Please check all that apply. Northside (32208, 32209, 32218) Westside (32205, 32210, 32222) Southside (32207, 32206, 32246, 32258, 32256) Arlington (32211) Beaches (32250) Nassau (32201, 32034) Select your training date:*Wednesday, June 7, 11:30 a.m.-1 p.m.Saturday, June 24, 9:30-11 a.m.Wednesday, June 28, 5:30-7 p.m.How did you hear about ReadingPals?*Select OneSocial MediaMake Your Moment EmailCorporate Rally or CampaignVolunteer Fair or Community EventCurrent ReadingPals ReferralNewspaper Article or Radio AdOtherOther:*Any comments or questions: Returning VolunteersThank you for being a ReadingPals volunteer! Please fill out some brief information to help us get you ready for another great year.Where did you volunteer in 2015-2016?*Would you like to volunteer at this site again for 2016-2017?*YesNoWhere would you like to volunteer this year?*Please check all that apply. Northside (32208, 32209, 32218) Westside (32205, 32210, 32222) Southside (32207, 32206, 32246, 32258, 32256) Arlington (32211) Beaches (32250) Nassau (32201, 32034) Mentor ApplicationWhere would you like to volunteer? (Check all that apply)* Arlington Middle School Fort Caroline Middle School Eugene Butler Middle School Highlands Middle School Jean Ribault Middle School Jeb Stuart Middle School Jefferson Davis Middle School Joseph Stilwell Middle School Matthew Gilbert Middle School Northwestern Middle School No Preference When is the best time to contact you?* Morning Afternoon Evening How did you hear about Achievers For Life?*Select OneUnited Way WebsiteSocial MediaTV/Radio/NewspaperCommunity Event/Fair/FestivalParticipating AFL SchoolAtlantic CircleEmployerFriend or Family MemberCurrent Achievers for Life MentorAny comments or questions: Matching InformationAre you over 18 years of age?*YesNoHow old are you?*Which United Way focus area(s) would you like to impact? Education Income Health What kind of volunteer opportunity are you looking for?One TimeOngoingPlease provide any additional information that will help us refer you to the right volunteer opportunity.