2013 reader volunteer form
1
2013 Chelmsford Community Read-In April 8 th – April 12 th I would like to participate in the 2013 Community Read-In! Name ___________________________________________ Business ________________________________________ Address _________________________________________ Email address________________________________________________________________ Phone _______________________________ Preferred form of contact: phone / email My preference is for grade (please circle grade preference) : CHIPS Pre-K (Westlands Only) K 1 2 3 4 5 6 No preference _________ Particular class requested (if any): _______________________________ My preference is to read at the following school(s): Byam ___ Center ___ Harrington ___ South Row ___ Westlands(Chips) ___McCarthy___ Parker___ No preference __________ The best day for me is: April 8 ____ April 9____ April 10 ____ April 11 ____ April 12 ____ The best time of day for me is: Morning ____ Afternoon ____ Any specific time frame better? ___________________ Number of classes I would like to read to: _______ Are you a High School Student: Yes* / No If yes, do you have transportation: Yes / No * If yes , what specific time is preferred (please do not indicate by block only) _________ Please email [email protected] or return form to: Tara Trainor, 25 Middlesex St, North Chelmsford, MA 01863 By March 9, 2012. Thank you!! ---------------------------------------------------------------------------------------------------------------- For Coordinator’s Use Only: School _____________ Grade ____ Teacher ________________ Room ____ Date __________Time_____ School _____________ Grade ____ Teacher ________________ Room ____ Date __________Time ____ School _____________ Grade ____ Teacher ________________ Room ____ Date _________Time______
-
Upload
in-town-report -
Category
Documents
-
view
255 -
download
2
description
Transcript of 2013 reader volunteer form
2013 Chelmsford Community Read-In April 8th – April 12th
I would like to participate in the 2013 Community Read-In!
Name ___________________________________________
Business ________________________________________
Address _________________________________________
Email address________________________________________________________________
Phone _______________________________ Preferred form of contact: phone / email
My preference is for grade (please circle grade preference) :
CHIPS Pre-K (Westlands Only) K 1 2 3 4 5 6
No preference _________
Particular class requested (if any): _______________________________
My preference is to read at the following school(s):
Byam ___ Center ___ Harrington ___ South Row ___ Westlands(Chips) ___McCarthy___
Parker___ No preference __________
The best day for me is:
April 8 ____ April 9____ April 10 ____ April 11 ____ April 12 ____
The best time of day for me is:
Morning ____ Afternoon ____ Any specific time frame better? ___________________
Number of classes I would like to read to: _______
Are you a High School Student: Yes* / No If yes, do you have transportation: Yes / No
* If yes, what specific time is preferred (please do not indicate by block only) _________
Please email [email protected] or return form to:
Tara Trainor, 25 Middlesex St, North Chelmsford, MA 01863
By March 9, 2012. Thank you!!
---------------------------------------------------------------------------------------------------------------- For Coordinator’s Use Only:
School _____________ Grade ____ Teacher ________________ Room ____ Date __________Time_____
School _____________ Grade ____ Teacher ________________ Room ____ Date __________Time ____
School _____________ Grade ____ Teacher ________________ Room ____ Date _________Time______
