RISE Volunteer Application Form

Please complete this application form if you are interested in becoming a RISE volunteer at the Kansas City Public Library. Thank you for your interest.

Name and Address

First name:

Last name:

Street 1:

Street 2:

City:

State:

Zip:

Cell phone:

Email address:

Please enter a password that:

Is between 8 and 30 characters long

Password:

Confirm password:

RISE Volunteer Opportunities

1. English for Citizenship Tutor

Volunteers will assist the instructor during weekly English for Citizenship classes. Ideally, volunteers will participate in future sessions as instructor or tutor.

2. Naturalization Interview Mentor

Volunteers will work one-on-one with naturalization applicants to practice the interview and complete the citizenship process.

3. English in Action Conversation Mentor

Volunteers work one-on-one with patrons who want to improve their English. Volunteers will meet for two hours per week with the same patron in order to develop a relationship and practice cultural exchange.

Which of these opportunities are you interested in?

Availability

Please indicate the days and times you are usually available to volunteer.

Skills and Experience

Although NOT required to volunteer, do you have experience in any of the following areas?

Emergency Contact

Please provide the name and phone number of a person we can contact for you in case of an emergency.

First name:

Last name:

Cell phone:

Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

Date of birth:

(year optional)

Education:

How did you hear about the RISE volunteer program?

Volunteer Agreement

I agree to indemnify and hold harmless the Kansas City Public Library from any and all claims or causes of action that may arise out of my assigned volunteer duties. I waive any right of action I have against the Kansas City Public Library in consideration of my participation as a volunteer for the Library. I further understand and agree that I will receive no compensation for any services performed by me as a volunteer for the Kansas City Public Library.

I also understand that in my capacity as a volunteer, I may come into contact with confidential information. I agree to adhere to the Library’s policy regarding privacy of Library patrons and to protect personal and confidential information to the best of my abilities and not to divulge it during or after my service as a volunteer. I understand that a breach of confidentiality is grounds for dismissal.

I understand and agree that submitting this application form does not automatically register me as a Kansas City Public Library volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.

By submitting this form, I attest that the information I have provided on the form is true and accurate.

I Agree

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