Big Buddies Application - Reading Buddies Program

1. Thank you for your interest in the Reading Buddies/Writing Buddies program!

2. Students in grades 7 - 12 may apply. (Sixth graders should contact the coordinator for the "Big Buddies in Training" application)

3. Gender*
   1. Male

   1. Female

4. Age*

5. School (fall 2012)*

6. First Name*

7. Last Name*

8. Street Number*

9. Street Name*

10. Street Type

11. Apt #

12. City*

13. State*

14. Zip*

15. Email Address*

16. Grade (fall 2012)*

17. Home phone*

18. Cell phone

19. Daytime phone number where parent/guardian can be reached in case of emergency*

20. Parent/guardian name*

21. Parent/guardian email

22. Why do you want to be part of Reading Buddies (or Writing Buddies)? What are your goals as a Big Buddy?*

23. What makes you unique? What else should we know about you?*

24. What are some of your favorite things (books, activities, school subjects, etc.)?*

25. Please indicate which sessions you are available for. Each session is 75 minutes long. (check all that apply):*
    1. Mondays at Sanchez 12:00-3:00
    2. Tuesdays at LPL 4:00-5:15
    3. Thursdays at LPL 6:00-7:15
    4. Writing Buddies on Thursdays at LPL 4:00-5:15

26. If you are interested in Writing Buddies, please check all that apply:
    1. I have been a Big Buddy before
    2. I am a high school student
    3. I am a college student
    4. I have written 1-2 paragraphs (above) about what I can bring to the WB program

27. If you are available for more than one program, would you like to:
    1. participate in the one program with the greatest need
    2. participate in the two programs with the greatest need

28. Please indicate any dates you will not be available during the session(s) you signed up for.

29. Which language would you prefer to work with? We may have Little Buddies who need help with reading in Spanish as well as English.*
    1. English
    2. English and Spanish
    3. English and another language I speak

30. Choose one training to attend (mandatory for new BBs).*
    -- Select One --Tuesday 5/22 4:00-7:00 (dinner served)Thursday 5/31 4:00-7:00 (dinner served)I have already attended BB training

31. New applicants only: Which of the following days are you (and a parent/guardian) available for an interview? Please check all that apply. The coordinator will contact you to schedule a 15 minute interview.
    1. Thursday 5/10 (afternoon)
    2. Monday 5/14 (afternoon-early evening)
    3. Tuesday 5/15 (afternoon-early evening)
    4. none of these times work for me
    5. Tuesday 5/29 (afternoon)

32. Subbing for absent Big Buddies (optional): I would like my contact information to be made available to other Big Buddies who are looking for someone to sub for them when absent. I am available the following days (check all that apply):
    1. Mondays
    2. Tuesdays
    3. Thursdays

33. Returning Big Buddies only: If you are interested in being considered as an Assistant Coordinator, indicate your availability:
    1. Mondays
    2. Tuesdays
    3. Thursdays
    4. Not at this time

34. By submitting this form, I acknowledge that (check all):*
    1. My parent/guardian and I have read the Big Buddies Informational Brochure (see link below).
    2. My parent/guardian and I are aware of the dates and requirements of the program. I will arrive on time and contact the Coordinator in advance if unable to attend a meeting.
    3. I agree to participate in all aspects of the program (including the interview, the training, and the weekly Big Buddy meeting) with enthusiasm and to the best of my ability.
    4. I will carefully read the Big Buddies Handbook before attending the training.
    5. I will adhere to the library's volunteer guidelines and model appropriate, respectful behavior in the library for the younger children.

35. Click below to read Big Buddies Informational Brochure:
    Big Buddies Informational Brochure

Leave This Blank:


36. 1. Receive email copy
37. Email address

38. Submit

* indicates a required field