America Reads * America Counts

America Reads * America Counts Mentor Application - Spring 2010

Questions

Please answer both of the following questions on a separate sheet (200-250 words per question):

1. Describe an experience that has helped prepare you to work as a mentor for ARAC.

2. Talk about a group or team of which you have been a part - what did you learn about yourself through this experience?

Additional Question for Partners in Print Applicants ONLY

3. Talk about a group or team of which you have been a part - what did you learn about yourself through this experience?

Applicant Meetings and Interviews

Once your complete application is received, you will be contacted to participate in one of our Applicant Meeting and Interview Sessions. In order for us to schedule your interview, please check one of the following options regarding your availability:

	I will be available to interview in College Park during the first 2 weeks of January.
	I will not be in College Park over winter break and will need to interview in December.

Please check ALL of the following time blocks you have available for an interview. The gray areas indicate time blocks that are unavailable.

	Dec. 8	Dec. 9	Dec. 11	Jan. 7	Jan. 8	Jan. 11	Jan. 12	Jan. 13
9:30 - 10:15am
10:00 – 10:45am
10:30 – 11:15am
11:00 – 11:45am
11:30 – 12:15pm
12:00 – 12:45pm
12:30 – 1:15pm
1:00 – 1:45pm
1:30 – 2:15pm
2:00 – 2:45pm
2:30 – 3:15pm
3:00 – 3:45pm
3:30 – 4:15pm
4:00 – 4:45pm
4:30 – 5:15pm
5:00 – 5:45pm

IMPORTANT! Once your application has been received, you will be contacted via email with your assigned interview session based on your availability. Please check your e-mail regularly for updates

Applications are due December 4th at 5 p.m.

America Reads*America Counts affirms its commitment to a policy of prohibiting discrimination on the basis of Race, Color, Creed, Sex (including sexual harassment), Sexual Orientation, Marital Status, Personal Appearance, Age, National Origin, Political Affiliation, and/or the exercise of rights secured by the First Amendment of the United States Constitution.

Full name:	Student UID#:
Street:	Apt #:
City:	State:	Zip Code:
Current Phone:	Email:
Majors:	Level of Study: Undergraduate Graduate Expected Graduation: (Month/Year)
Have you ever worked in or applied for a position at AR*AC? If so, when:
How did you find out about AR*AC?:
Do you speak Spanish? Yes, fluently Conversational A little No
Program Rank the program(s) with which you are interested in working. America Reads America Counts Partners in Print Preference is given to fluent and conversational Spanish speakers	Type of Involvement Volunteer EDCI2880 Registered for the course? Yes No EDCP318M Registered for the course? Yes No Internship (Class or Program) Registered for the course? Yes No Federal Work Study Have you already been granted an award? Yes No If so, what is the amount of your award?
Mode of Transportation (Check all that apply) I have regular access to a car and prefer to drive myself to school I have regular access to a car and I’m willing to drive others I do NOT have access to a car and need to be placed at a van or shuttle school I am willing to drive an AR*AC van

Choose ONE time block on TWO days:	Monday	Tuesday	Wednesday	Thursday	Friday
7:30 - 10:30am
7:30 - 11:00am
7:30 - 11:30am
7:30 - 12:00pm
8:00 - 11:00am
8:00 - 11:30am
8:00 - 12:00pm
8:30 - 11:30am
8:30 - 12:00pm
9:00 - 12:00pm

	Monday	Tuesday	Wednesday	Thursday
2:00 - 5:00pm

	Tuesday	Wednesday	Thursday
5:30 - 8:00pm