Adult Literacy Student

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Painting with Zy

Learn to read!

Apply below

* Indicates required field

Name *

First

Last

Do you have transportation to the library? *

Yes No

Phone Number *

Last grade completed *

Have you ever sought help to improve your skills? *

Yes No

Where? *

When? *

What are your goals with this program? *

Check any that you would like to learn: *

Religious activities Voting GED Fill out applications Read recipes Read medication labels/prescriptions Read/write letters Open/use checking/savings accounts Read for community activities (fliers, etc.) Apply for driver's license/take driver's test Read classified ads Write shopping lists Read bills Read novels/magazines Balance checkbook against statement Read work related materials

Which days are best for you? *

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

How did you learn about OPL's literacy program? *

Submit

You may also print out the form below and bring it to the library.

opl_volunteer_intake_form.pdf
File Size:	128 kb
File Type:	pdf

Download File