LDAWC Volunteer Application Form for Reading Rocks Program
OUR MISSION STATEMENT

The Learning Disabilities Association of Wellington County (LDAWC) is a charitable, nonprofit organization dedicated to improving the lives of children, youth and adults with learning disabilities so that they can reach their full potential. Through outreach, education, advising and advocacy, the Learning Disabilities Association of Wellington County's mandate is to advance the education, employment, social development legal rights and general well being of individuals with learning disabilities.

BECOMING A VOLUNTEER

LDAWC is looking for enthusiastic, committed, motivated people who would like to be positive role models. You must also have excellent oral and written English language skills, as Reading Rocks is a reading/literacy program.

You must be a minimum of 15 years old to apply to volunteer.

All volunteers must attend a mandatory training/orientation session that will be held on Monday, January 14, 6:30-9:00 PM.  The time commitment for this volunteer opportunity is 8 weeks in length, for 2 evenings a week (1 hour each evening).

All  volunteers aged 18+ must have a current Police Vulnerable Sector Check clearance valid within one year prior to the start of the program.

If you do not currently possess a vulnerable sector police clearance, LDAWC staff will provide you with a letter to present to your local police station to apply for the clearance. To apply, you must take two pieces of government issued identification. A Police Vulnerable Sector Check (for volunteer purposes) is NO COST with this letter in Guelph, and must be applied for in person. Click here for more information: http://www.guelphpolice.ca/en/services-and-reporting/police-vulnerable-sector-check.asp

A letter of reference is available after the program upon request.

PROGRAM AND TRAINING DATES

This program begins January 28, 2019 and runs every Monday and Wednesday except the weeks of February 18 (Family Day and University of Guelph Reading Week) and March 11 (March Break).
Mandatory training for the program is on Wednesday, January 23 in the evening.  


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VOLUNTEER APPLICANT INFORMATION
First Name *
Last Name *
Email address *
Phone number *
Address (Street address, City, Postal)
Date of birth *
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YYYY
Emergency Contact (Name, Relationship, Phone Number) *
Please indicate your location/days of interest: *
What is your educational background? *
Have you had experience working with children or tutoring children? Please describe. *
Have you had previous volunteer experience? At what organization(s) and what did you do?
What are some of your interests and strengths? (We use your answer to help match you with a student.) *
Is there any other information you would like to share?
How did you hear about our organization? *
REFERENCES
Please note we need 2 references. Family members and friends cannot be references.
Please provide name, relationship (e.g. supervisor, teacher, coach), phone number and email address.
Reference 1 *
Reference 2 *
TERMS & CONDITIONS
1. I hereby authorize photographs and/or videotaping to be taken of me while at the Learning Disabilities Association of Wellington County (LDAWC) for the purpose of promoting the program.

2. I understand that the information collected on this form will only be used to assess my eligibility for the position. This information will only be shared with LDAWC staff and Board. I give permission to Learning Disabilities Association of Wellington County to contact the persons listed as my references for the purpose of obtaining reference information. These persons are aware that LDAWC may contact them and have my permission to discuss information regarding my current and/or previous employment.
By adding your name to the bottom of this form you are consenting to the terms and conditions of the Reading Rocks program as well as attesting to the accuracy of the information included in this application form. *
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