Form Center

2. First Name*
3. Last Name*
5. TItle*
6. Organization/Business Name *
8. Email Address*
9. Business Address*
11. City*
12. State*
13. Zip Code*
15. Phone Number*
16. Web Address
18. Availability
20. Mondays

    1. 8am -9am
    2. 9am - 10am
    3. 10am - 11am
    4. 11am - 12pm
    5. 12pm - 1pm
    6. 1pm - 2pm
    7. 2pm - 3pm
    8. 3pm - 4pm
21. Tuesdays

    1. 8am - 9am
    2. 9am - 10am
    3. 10am - 11am
    4. 11am - 12pm
    5. 12pm - 1pm
    6. 1pm - 2pm
    7. 2pm - 3pm
    8. 3pm - 4pm
22. Wednesdays

    1. 8am - 9am
    2. 9am - 10 am
    3. 10am - 11am
    4. 11am - 12pm
    5. 12pm - 1pm
    6. 1pm - 2pm
    7. 2pm - 3pm
    8. 3pm - 4pm
24. Thursdays

    1. 8am - 9am
    2. 9am -10am
    3. 10am - 11am
    4. 11am - 12pm
    5. 12pm - 1pm
    6. 1pm -2pm
    7. 2pm - 3pm
    8. 3pm - 4pm
25. Fridays

    1. 8am -9am
    2. 9am - 10am
    3. 10am - 11am
    4. 11am - 12pm
    5. 12pm - 1pm
    6. 1pm - 2pm
    7. 2pm - 3pm
    8. 3pm - 4pm
27. During the duration of Diversity Rocks the Book, from March 4-29, 2019 how many times would you be willing to serve as a Guest Reader? required*

    1. 1 time
    2. 2-3 times
    3. More than 3 times or as my schedule allows
29. Please provide a 1-2 sentence description of your support of this project and/or your interest in participating as a guest reader. required*
31. Please attach a photo of yourself. The photo will be used on the DRB website and shared with the school so they'll know who to expect. required*
33. Volunteer Information Form
    Volunteer Information Form

    Holland Public Schools requires that all volunteers, including DRB Guest Readers, submit a Volunteer Information Form. Fill it out and save it to your computer, then upload it using the button below.
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field