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Celebrity Read 2013 Volunteer Form
If you are interested in becoming a Celebrity Reader, please fill out our inquiry form:
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country
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Cell Phone
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Email
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Best Way to Reach You
telephone
cell phone
email
Which service area(s) would you like to read in East Orange?
Langston Hughes - Feb 7
George Washington -Feb 20
Althea Gibson Academy - Feb 25
Wahlstrom Academy - Feb 26
Ecole Touissant Loverture - Feb 28
Select all that you are interested in.
Which service area would you like to read in Harrison?
Not available at this time
Which service area(s) would you like to read in Irvington?
Madison Ave. - Feb 1
Union Middle - Feb 8
Grove Street - Feb 12
Florence - Feb 14
Mount Vernon- Feb 15
Select all that you are interested in.
Which service area(s) would you like to read in Maplewood/South Orange?
Not available at this time
Which service area(s) would you like to read in Newark?
Speedway Ave - Feb 6
Cleveland Elementary - Feb 11
George Washington Carver - Feb 19
13th Avenue/MLK Renew - Feb 21
Roberto Clemente - Feb 22
Select all that you are interested in.
Which service area(s) would you like to read in Nutley?
Not available at this time
Which service area(s) would you like to read in Orange?
Heywood - Feb 5
Cleveland St. - Feb 6
Oakwood Avenue - Feb 13
Select all that you are interested in.
I would like to read ...
Wherever I am most needed
Is there a particular program you would like to volunteer for?
How did you hear about our Celebrity Read program?
Family
Friend
Co-worker
Brochure
United Way Website
Other Social Service Organization
Celebrity Read Event
Other Referral Source
Select all that apply.
Have you been a Celebrity Read Volunteer in the past?
Yes
No